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Patient was taking her weekly Fosamax dose with a glass of calcium fortified orange juice. The PharmMD pharmacist advised the patient that Fosamax should be taken on an empty stomach and with a full glass of water instead of calcium fortified orange juice, because the orange juice would decrease the absorption of the Fosamax and decrease the effect of the medication. Overall, the patient was very responsive to the recommendations and agreed to start taking her medication with water instead of orange juice.