A 67-year-old woman comes to the physician for a routine health maintenance examination. She has a history of hypertension and has smoked a pack of cigarettes daily for 30 years. BMI is 20.1 kg/m2. Physical examination is unremarkable.. A screening DEXA scan shows a low bone density at the femur. The patient is prescribed risedronate. Repeat bone densitometry 2 years later reveals no further loss of bone mineral density. Which of the following mechanisms most likely explains the drug's effect on bone mineral density?
A) Decreased osteocyte-mediated inhibition of bone formation
B) Decreased stimulation of receptor activator of nuclear factor kappa-B
C) Decreased urinary calcium excretion
D) Increased intestinal calcium absorption
E) Inhibition of osteoclast-mediated bone resorption
F) Stimulation of preosteoblasts to mature osteoblasts
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