Just Diagnosed with a - 4.1 Left Femoral Neck T-score

Posted , 12 users are following.

Hello All,

I've just been diagnosed with osteoporosis due to a -4.1 t-score of the left femoral neck.  I am horrified.  My lumbar spine (-2.4) and left hip (-2.3) are not quite there, but not good either.  10 years ago I was diagnosed as having osteopenia, but I was never given the scores or any other information, so I didn't pay much attention to it.  I thought I wouldn't have to worry about actual OP for many years...I am 49.

I'm pretty sure that my diet and lack of exercise have played a huge part in all of this, as has my extremely high stress levels over the past two years.  I have been taking D3 (2000mg) for years, although not religiously except for the past year.  I am starting on calcium, K2 and magnesium today, and ramping up my exercise to every single day.

I have an appointment with my doctor on April 10th.  I'm sure she'll be recommending medication, but like so many of you on here, I'd really like to go the natural route first to see if that improves my scores.  

I guess my question is...is that even realistic?  I am terrified of all of the options.  I've read many of the posts here, and am really thankful to have found this forum.  I'm mainly here for moral support, because I feel like this has knocked me down.  

Thanks so much -

Janice

2 likes, 65 replies

65 Replies

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  • Posted

    I did the opposite and followed Doctor's advice with AA and Adcal. It was ok at first but I seemed to be getting odd symptoms after 6 months and gave them up. As I have Coeliac my blood is checked every 6 months so I knew my Calcium, Vit D and all the other numbers were back to nearly normal, so I didn't worry so much. Still have to wait another 9 months for the next Dexa though, like you every 2 years.

    • Posted

      That seems like a common story, Philip, starting the meds, then stopping due to various symptoms.  I hope that your next scan shows great improvement!

       

  • Posted

    I hope you can at least halt the decline if you improve your diet and exercise and address your stress. Unfortunately for me, I have a good diet and exercise regime so I could not improve it. However, I have had great results on the meds and so far, no more fractured vertebrae
  • Posted

    Hi All,

    Tomorrow, I am finally going to see my doctor to discuss the diagnosis.  I really appreciate all of the knowledge and insight you all have shared with me.  I'm absolutely not going to start on any drugs, and have made drastic improvements in my diet.  I've lost 5 pounds so far, too.

    A friend of mine with Osteopenia said she's on an all-natural fish bone nasal spray, 4x/day (waiting for her to give me the name...it is a prescription).  She tried Fosamax and had severe pain.  No side effects with the spray.  I thought it was interesting that no one had mentioned this on here.  (I am in the U.S.)

    Since learning of my OP, I have started on K2 (100mcg/day), Cal-Mag Citrate (cal 1000mg/day, mag 500 mg/day & D2 400iu/day). I was already on D3 (200 iu/day) and B12 (1000 mcg/day).

    I'm going to ask her about adding in zinc, Vitamin A, and Fish Oil.  Anything else you think I should add or ask about?

    I do plan on having her test all of my vitamin & mineral levels.  For the record, my last calcium level was 9.3.

    I'll let you know how it goes.

    Thanks again for everything!

    Janice

     

  • Posted

    Thanks Janice for the update.

    I am in Australia and we are not offered all the drugs and have never heard of the spray.

    Here, it seems to be fosamax or prolia that gets offered.

    You are on top of this and I will be interested to see how you go with your diet and exercise regime. 

    I am guessing you are having yoghurt every day and all the other nutrient rich food that has been named on here.

    I wish you well.

    Kathleen.

     

  • Posted

    Hi Janice,

    I have had osteoporosis for over 10 years.  I tried the natural route: Vitamins, diet, walking, specific exercises, etc.  I thought when I retired a little over a year ago and increased my walking/exercising that I would surely see a positive change in my dexa this year.  Unfortunately, that was not the case.  So, after 10+ years, I finally gave into taking medicine since my t-scores were so bad and declining.  I now have to take Forteo to build bone before going on the medicines that maintain bone.  It is a personal decision.  I don't regret trying the natural route over the previous years at all.  But, one might argue that waiting has now put me in the category of needing daily injections instead of injections twice a year.  Do your research and you will make the right decision. Good luck! marilyn

    • Posted

      Don’t beat yourself up Marilyn. I have done the natural method all my life and still got op. When there is nowhere to go the meds can make a huge difference. If your diet was lacking or you needed to up the exercise, it is worth delaying the drugs but I have seen and experienced the trauma of fractures that may well have been  avoided if I had had a scan earlier and started the meds. I actually refused  a dexa because I was the least likely person to have this condition. IT is a difficuilt decision but we need to look at the long term problems as our t-score deteriorates while we wait for something better to turn this around. Stay well.
    • Posted

      I was exactly the same (see my reply to Janice) and could agree more. 

    • Posted

      Oops....COULDN’T agree more 🤪

  • Posted

    HI Janice

    Like Alison28608 I have always followed a healthy, nautural, supplemented lifestyle with lots of excercise. I ramped it up when I turned 60 to make sure i was still healthy and active going into retirement with 12 young grandchildren to play with. THen BOOM. Last year at 62 I was diagnosed with PMR/GCA, started high dose prednisone, then in November after spraining an ankle I had a dexa scan. Same as you, T score -4. I’m very tiny, it’s hereditary, early menopause, etc....all the high risk factors that I had no idea about. I begged my dr to  let me try to improve it with natural methods and his response was “well it hasn’t worked for  you so far has it” then proceeded to  drum it home with just how dangerous this was for me. I’ve had  my first Prolia injection and so far so good although I’m also reducing my prednisone dosage so that’s an interesting combination. I’m sure whichever path you choose will help, but it is your choice to make. For me it’s better to have a quality of life that suits my lifestyle. I can’t think of anything worse than being “broken” and not being able to do the things I plan to do in retirement,  even if they are modified slightly. So far  I can still dance, walk on a glacier in NZ, play with the grandies and travel in our RV. I have to be grateful for that and if Prolia and Prednisone is what I have to take to live that life then so be it. Better safe than sorry as they say.  😏

    • Posted

      I found to my cost that what I thought was a healthy lifestyle, wasn’t.  So much for a vegetarian diet for 40 plus yrs and early morning visits to the gym, alternating with pool, before work for years. So many factors involved.  If you have a family history of OP, it takes more than diet and exercise to overcome it.
    • Posted

      Yes im afraid you’re right right. I had no idea I had it, never had a break, no symptoms whatsoever or any cause to suspect it. If not for being diagnosed with PMR/GCA I wouldn’t  have needed a dexa scan and would never would known until too late. 
    • Posted

      My experience too, although I was lucky things were caught before they got too bad.  Why don't doctors give us information about preventing osteoporosis the same way they warn us about the dangers of smoking, or how to avoid diabetes, or recognizing the symptoms of heart disease....?

  • Posted

    Hi again,

    Well, had my consultation with my doctor today.  She said that the diet and exercise route would not be enough for me but that she was really concerned because my -4.1 # is just too low for someone my age, and she doesn't believe that my diet and lack of sufficient exercise was the culprit.  She has referred me to an endocrinologist because she is concerned there is an underlying problem that is sapping my bones of all the calcium (thyroidal issue).  She said she did want to put me on a bisphosphate, but I told her I truly did not want to get on those drugs yet...and she completely understood.

    So, back to the doctor it is for now (April 25th).  I am going to switch to a new, intensive supplement which contains everything I need (in 8 pills a day - yuck!).  At this point, I'm just so worried about missing out on any vitamins/minerals and don't want to waste another day.  I wish I had taken the osteopenia diagnosis more seriously all those years ago.  

    I sincerely thank you all for your comments and well wishes.  I can't tell you how much it helps to hear from you.  

    I'll keep you posted!

    Janice

    • Posted

      Thank you for your update.  It's definitely a good idea to have further investigation.  Among other reasons the fact is that it's not a good idea to be on osteoporosis drugs for many years, so if it can be avoided you really don't want to start now.  If an underlying cause can be discovered and addressed this will be a big step forward.  All the best!

    • Posted

      The underlying cause idea is very interesting actually, I have come to believe that we are lacking nutrients caused possibly by soil depleted of the necessary vitamins and minerals. Then there is the possibility of chemicals used on produce has harmed us. 

      I am sure there should be thorough  research into  quality of our food.

      In Australia knowing about vitamin K2 is very recent so no one was able to take that years ago. We have found out now that a lack of magnesium has caused osteoporosis some people. This has been proven.

      I am sure there is more to learn but we will get there eventually.

      People now know not to stay on the drugs longer than a couple of years so we are gaining knowledge and understanding. 

      I intend to persevere for a while yet with the natural route as I have not broken bones.

      Everyone is entitled to their opinion and the fact that we have two camps on here is good actually, natural route vs drugs and drugs plus vitamins and exercise which makes three camps. It is like we are conducting a study providing information,

       

    • Posted

      Kathleen. You are correct, we need different view points to mull over.

      I found living in the U.K. you have to break bones before you are offered a DEXA scan, which is all wrong.  I was constantly refused one over a period of several years, even though I had constant lower back pain due to an unconfirmed  coccyx fracture. 

      The repercussions of breaking bones due to OP, apart from the stress and pain, can be very inconvenient.  My yearly holiday insurance shot up, particularly for travelling worldwide/ US, assuming you can even get it. 

    • Posted

      Yes!  I think you're exactly right.  Sadly, I think the U.S. allows more harmful chemicals in our food than other countries do, so we have to do our due diligence.  

      It is great to get all opinions and reports of results so we can map our own plans of action, or at least be informed when going to the doctor.  If I hadn't come on here, I probably would be on Fosamax right now.  

      I do need to do some more research on the various drugs, side effects, and length of time needed to be on bisphosphenates before seeing improvement.  I'm really concerned about the micro cracks and femur breaks.  I realize that I may end up on something down the road, but not before my next bone scan in a year.

       

    • Posted

      My doctor said that they generally don't do a bone scan until age 65 here in the US!  That is astounding to me. 

       

    • Posted

      I agree!  I find myself hoping for a thyroid issue :\
    • Posted

      In my community (Nova Scotia) there's an official recommendation that all adults, male and female, get a DXA scan at 65.  I never heard about this in spite of having a broken limb when I was 66, and I also think that a baseline for females should be done much earlier.  

    • Posted

      It is 70 in Australia for it to be free or recommended at least. 

      Maybe a broken bone may encourage an earlier scan though!

    • Posted

      Maybe because you get more sun than we do in the far north, at least until the success of sunscreen deprived you of Vitamin D, and OP appeared later in life?  
    • Posted

      Something very interesting is that people living in sunny Australia are vitamin D depleted! Another reason for osteoporosis is a lack of vitamin D for years which is often not picked up unfortunately.

      Mine was picked up by my specialist looking after me for Crohns which is now in remission. Goodness only knows how long I had been depleted! I take one vitamin D per day and my husband has double that. 

      So much still is probably to be revealed about causes!

      So now we are all looking carefully at how our foods are grown and if the animals are grazing on grass.

       

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