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Further prospective studies with more robust methodologies are needed to clarify the association between BPPV and disorders of bone metabolism. There is only weak evidence to support the relationship between BPPV and osteoporosis or low serum 25-hydroxyvitamin D levels. Further prospective studies with more robust methodologies are needed to clarify the association between BPPV and disorders of bone metabolism. As hearing rehabilitation research evolves to include both retrospective and momentary assessment outcome measures, it is import