New diagnosis of osteopenia
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Hi, I’m 43 and yesterday was informed my bone density test was -2.3 and -2.2. My ortho wants me to take forteo. We agreed to maintain for the time being (until I can look more into medication) and I started taking fosamax this morning. After some research into forteo my husband and I have agreed I’m not going to take it, Atleast not until I know more about it, as the risks that I have found so far are too great. I have also looked into the physicians and am wondering if I should see an endocrinologist for this issue. Is anyone currently on forteo and what do you think about it. Also what’s the best type of doctor to deal with this? I have always trusted my ortho but he is really pushing for this medication. I think his reasoning is probably due to my age. To be honest, I’m trying to stay positive about this and could really use some help. Thank you.
0 likes, 24 replies
kathleen65757 sharesa02412
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Vitamin K2 aims the calcium onto the bones for a start. If you lack vitamin D3 it affects your bone density. I was a long time in that situation without realising it.
People who have been diagnosed have sometimes been found to be deficient in magnesium. Blood tests will check your levels in calcium, vitamin d and magnesium.
A healthy diet that focuses on bone building as well as weight bearing exercise is also advised.
There is quite a lot of research that you can access online.
All the best.
sharesa02412 kathleen65757
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I’m very new to this diagnosis and feel like I’m cramming last minute for a test. I’m trying to get as much information as possible to make informed decisions.
Thank you.
kathleen65757 sharesa02412
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I resisted taking the drugs and at the moment I am happy with that decision.
My sister tried fosamax and prolia and she was not well. I am similar to her except she has lost a massive amount of weight without dieting which is worrying. I am not pro the drugs and believe insufficient studies have been done. Why a person has osteoporosis or osteopenia needs to answered. Each person needs to be assessed individually.
There are some good people on here and although we do not always agree we respect each other and never denigrate. You can feel strongly without putting anyone else down.
It is good to argue your point of view and know that someone will be a bit wiser because of it.
So long as no one forces you to make a decision before you are ready the final conclusion you come to is right for you at that time.
I have not broken bones and that is also a factor in one’s decision.
Many people have osteoporosis and do not know it. I often envy them.
We are all different.
All the best,
Kathleen.
lynne73895 sharesa02412
Posted
Look at your diet, are you eating sufficient protein and Ca containing foods?
Protein is essential for the maintenance of the bone matrix, which gives it strength and flexibility.
Its been shown that Ca is better obtained from diet if possible and Ca supplements should only be taken to make up a short fall. Too much Ca can lead to kidney stones and calcified arterial plaque.The RDA seems to vary between 1000 and 1200mg of Ca per day. Some time ago the NOS did say that 700mg of Ca is actually sufficient for most people. I personally aim for the RDA.
Kathleen mentioned Magnesium, Vit D3 and vit K2. I started taking these along with vit A retinol, after reading the book: ‘Vitamin K2 and the Ca Paradox’ by Kate Rheaume Bleue. She explains how they work together to aid the absorption and utilisation of Ca.
Good luck
sharesa02412 lynne73895
Posted
I did the scan as a screening after talking to my ortho for months (no broken bones but other issues). I’m post menopausal 20+ years without hormones due to family history of cancer. I have a great support system in my family. My fear about the osteopenia was my doctor told me had I done the test in a year, instead of now, I would have osteoporosis.
I will look for this book you were telling me about. Any other information would be greatly appreciated, thank you.
Anhaga sharesa02412
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It is no longer considered best practice to prescribe osteoporosis meds to someone who is only osteopenic, although there may be some other risk factors (previous fracture, certain medications (like steroids) which increase the likelihood that a doctor will do so. I had some of those other risk factors, and started out with a bone density reading not much better than yours, was prescribed AA but turned it down and went the natural route. In one year I improved my t-score form -2 to -1.6 and they are no longer recommending the meds, despite the other risk factors still being in place!
The protein advice is a bit askew. The issue is, I believe, that meat (and some dairy like liquid milk) give you too much phosphorus which is unhelpful to the bones. Protein is good, especially if you reduce animal sources, and with dairy concentrate more on fermented forms like yoghurt (shown to improve calcium absorption) kefir and some cheeses. In fact all fermented foods are good, but you should introduce them in small quantities if you aren't used to them to allow your gut time to adapt. Yes, supplements like D3 and K2 are very important, and you want to make sure you are getting enough magnesium either through diet or occasional supplements, to balance your calcium intake. Magnesium also helps with bones and is readily available in leafy greens and other foods but you might need a bit more when taking extra calcium. If you take extra calcium a couple of smaller doses at different times of day are better than one large dose as the body can only absorb just so much at one time.
Also appropriate weight bearing exercise is very important as this is what encourages the body to build more bone.
Anhaga
Posted
I should add that my doctor was very keen for me to be on AA, especially, I should note, after she'd attended a professional workshop about osteoporosis. I refused, and when I got those improved results after one year she asked me how I did it!
lynne73895 sharesa02412
Posted
It was basically about altering my 40+ yrs vegetarian diet when I started breaking bones,
I now include organically raised dairy, especially goat yogurt, organically raised chicken, eggs, butter, out door raised lamb and tinned Alaskan Wild Red Salmon. Provided you include the bones and liquid, from the salmon, It’s a very good good source of protein, Ca, D3 and omega 3.
Whether my other 2 replies will ever appear, goodness knows. As for why they have been held up, I’ve no idea! Hopefully the moderator will explain to me what they dislike about them.
Best wishes
Anhaga lynne73895
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lynne73895 Anhaga
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Anhaga lynne73895
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Now that your post has appeared I'm thrilled that the book you named (the reason for moderation, the robot knows nothing) has been approved. I love this book, have a copy on my e-reader.
jan88879 Anhaga
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Anhaga jan88879
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Scroll up quite far to a longish post by Lynne., I don't want to write out the name of the book again in case this reply gets sent to moderation. But you could do a find search on the page for the word bleue which is part of the author's name.
Ange333 Anhaga
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My spine t-score is-3.4 and hips -1.8.
I wondered if you would mind giving your age as you are very inspiring. Do you know where I can find information about K2 doses?
Thanks
Anhaga Ange333
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I am not 70, but I got my diagnosis about two and a half years ago after I starrted taking prednisone for polymyalgia. If you google health authority Vitamin K2 you should find a really good article about this vitamin. As for doses I just go with the recommendation on my supplement bottle. I think it's unlikely we will overdose on K2 as the supplement doses are very small, measured in mcg not mg. People who eat natto, the Japanese fermented soy which is the source of our supplements, get far more than that in a helping, and doesn't do them any harm. Although of course getting a vitamin from a food is always better than from a supplement, if we can. I haven't tried natto myself. Not sure where I could find it. And I understand it's an acquired taste!
Anhaga
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Ange333 Anhaga
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