A 60-year-old postmenopausal female presents to your

A 60-year-old postmenopausal female presents to your office with concerns about osteoporosis. A review of her medical history shows a bone density T-score of -1.8 from 2 years ago, suggesting moderate osteopenia. As you review her medical record, you note that last year she had lipids measured which were: total cholesterol of 210 mg/dL, LDL 140 mg/dL and HDL 45 mg/dL, and triglycerides 125 mg/dL. She had a partial thyroidectomy 15 years ago and currently takes levothyroxine 88 μg/day. She then asks you about her cholesterol levels and whether taking soy would be helpful. A friend told her that older women should take soy to prevent heart disease, breast cancer, osteoporosis, basically, they told her soy will help her to cheat death. Which of the following is appropriate to tell this patient? A) Soy isoflavone supplements are preferred for reducing lipid levels B) Dietary soy protein is not associated with a reduced risk of developing heart disease in Western women C) Soy protein is as effective as a statin for lowering cholesterol D) Soy isoflavones are an acceptable alternative to calcium and vitamin D for preventing osteoporosis SCIENCE HEALTH

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