text: Rheumatologic diseases, yo, they ain't no joke,
  Proinflammatory state, bone changes provoke,
  Glucocorticoids, common treatment option, you see,
  But they mess with the bone, negatively.
  
  Direct effects on cells, indirect on calcium,
  Fracture risk rises, within the first three months, son,
  Anti-inflammatory, but still the danger lurks,
  Osteoporosis prevention, a concern that works.
  
  Chronic glucocorticoids, three months or more,
  Gotta think 'bout treatment, keep those bones secure,
  Low risk patients, maybe no meds needed,
  Non-pharmacologic strategies, they should be heeded.
  
  But for moderate to high fracture risk, oh man,
  Pharmacologic treatment, that's the plan,
  Four approved medications, options to choose,
  Educating docs and patients, we can't lose.