Document ID: chunk:federal_register_of_legislation:F2024L01046:reg:9:p1
Version: federal_register_of_legislation:F2024L01046
Segment Type: reg
Provision Reference: reg 9 (pt 1/3)
Character Range: 4352–7485

9               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, osteoporosis or death from osteoporosis is connected with the circumstances of a person's relevant service:
(1)          having rheumatoid arthritis or ankylosing spondylitis for at least the 2 years before clinical onset or clinical worsening;
(2)          having human immunodeficiency virus infection for at least the 2 years before clinical onset or clinical worsening;
(3)          having multiple sclerosis or Parkinson disease for at least the 2 years before clinical onset or clinical worsening;
(4)          having chronic renal impairment with a glomerular filtration rate of <30 ml/min/1.73 m2 for at least 3 months before clinical onset or clinical worsening;
(5)          having myeloma or systemic mastocytosis at the time of clinical onset or clinical worsening;
Note: systemic mastocytosis is defined in the Schedule 1 – Dictionary.
(6)          having a solid organ (excluding corneal transplant), stem cell or bone marrow transplantation before clinical onset or clinical worsening;
(7)          having one of the following endocrine abnormalities for a continuous period of at least 2 years within the 5 years before clinical onset or clinical worsening;
(a)          Cushing syndrome;
(b)          Graves disease;
(c)          hyperprolactinaemia;
(d)          hyperthyroidism or thyrotoxicosis;
(e)          hypogonadism (including menopause);
(f)           primary hyperparathyroidism; or
(g)          type 1 diabetes mellitus;
(8)          having one of the following gastrointestinal diseases at the time of clinical onset or clinical worsening;
(a)          chronic exocrine pancreatic insufficiency;
(b)          cirrhosis of the liver;
(c)          coeliac disease; or
(d)          inflammatory bowel disease.
(9)          having total or partial gastrectomy or a Roux-en-Y gastric bypass at least 1 year before clinical onset or clinical worsening;
(10)      for a minimal trauma fracture only, being pregnant within the 3 months before clinical onset;
(11)      having anorexia nervosa before clinical onset or clinical worsening;
Note: anorexia nervosa is defined in the Schedule 1 – Dictionary.
(12)      taking one of the following glucocorticoids orally, intravenously or intramuscularly before clinical onset or worsening:
(a)          betamethasone to a cumulative quantity of at least 60 mg within 6 months, or a cumulative quantity of at least 360 mg over any duration;
(b)          cortisone to a cumulative quantity of at least 2,500 mg within 6 months, or a cumulative quantity of at least 15,000 mg over any duration;
(c)          dexamethasone to a cumulative quantity of at least 75 mg within 6 months, or a cumulative quantity of at least 450 mg over any duration;
(d)          hydrocortisone to a cumulative quantity of at least 2,000 mg within 6 months, or a cumulative quantity of at least 12,000 mg over any duration;
(e)          methylprednisolone to a cumulative quantity of at least 400 mg within 6 months, or a cumulative quantity