This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Treatment of post menopausal osteoporosis are all EXCEPT 
Select and explain. 
A. Raloxifine, B. Calcium, Vit D supplementation, C. Estrogen, D. Magnesium and Zink
D: Magnesium and Zink
Answer: D: Magnesium and Zink 
Explanation: D. i.e. (Magnesium and Zink) (57- Shaw's 14th)OSTEOPOROSIS MANAGEMENT* Optimal benefit of HRT around the age of 60, Oestrogen progestogen, tibolone and raloxifene are beneficial in osteoporosis* Diet should indued at least 1.2g of calcium, vit A, C and vit E, Vit D 400 mg.* Oestrogen prevents osteoporosis by several mechanism. It inhibits osteoclastic activity, increase absorption of calcium from the gut, stimulates calcitonin secretion from the C cells of the thyroid and increases 1.25 dihydroxy vitamin D. all these lead to increased bone mineralization (53 - Dutta 4th)