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A combination therapy consisting of **zoledronic acid** (a third-generation bisphosphonate), **calcium**, and **vitamin D** is used to prevent or treat osteoporosis and other conditions involving bone loss, such as those associated with cancer or Paget's disease. Zoledronic acid inhibits osteoclast-mediated bone resorption, thereby increasing bone mineral density and decreasing fracture risk. Calcium and vitamin D are essential for bone formation and maintenance; their supplementation reduces the risk of hypocalcemia, which may be induced by bisphosphonates. This combination is especially used in patients receiving zoledronic acid, as adequate levels of calcium and vitamin D are crucial for safety and efficacy[1][4][7].
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