DEAR DR. ROACH: I am a 60-year-old female who was diagnosed with primary biliary cholangitis (PBC) in 2020. At the time, I had a bone density scan that showed osteopenia of the left femoral neck with a T-score of -1.3. My 10-year risk of any fracture was 6.9 percent, while my risk for hip fractures was 0.5 percent.
My hepatologist wants me to take a calcium supplement, even though my calcium level …