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.

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  • Posted

    HI sharesa

    I agree its a minefield with conflicting information. I can only go from my own experience. 

    I was a strict vegetarian for 40 + years, until I started breaking bones in 2010.  I then  joined the NOF and NOS forums  and read all about alkaline diets,  which  was what I was already eating!   I started testing my urine pH several times a day and getting completely neurotic about it. 

    I then read that provided you had a steady Ca intake ie from food, throughout the day, there would always be sufficient Ca  in circulation to act as a pH buffer.  The only time that Ca would  be leached from the bones is when the body is starved of Ca.  I stopped measuring my urine pH.

    I then started reading about protein and began weighing my food at home and calculating my essential nutrient intake, in particularly  protein, Ca and fat intake.  I was appalled at how low these all were.    Healthy  Fat ( not trans)  is essential for absorbing the fat soluble vits like D3, A retinol and K2. I now eat butter rather than veg oil substitutes which actually contain more trans fats. 

    Reading about phytic and oxalic acids ie Ca and iron chelators, I then realised that many of my vege protein foods like nuts, whole grains, seeds and even certain green veg like spinach, contained these chelating agents, that can compromise Ca absorption, so are not the reliable Ca source I thought.

    I gradually altered my diet to include more animal protein like organic dairy, especially full fat Yogurt, free range eggs, free range chicken, occasional out door reared lamb and Alaskan tinned Wild Red Salmon.

    The salmon is a super food in my opinion, provided you include the bones and liquid.  It contains approximately 220 mg of Ca ,  760 IU of D3  and 1200 mg of omega 3, all per 100g of salmon.

    Whether my change in diet is  helping my bone matrix, I have no idea, as this cannot be tested for. 

    I do know I feel much better in myself and have more energy.   I think diet is all about balance, ideally organic, out door reared meat,  eaten with organically grown veg and fruit, that is, if you can find it in winter and afford it!

    Best wishes

  • Posted

    Hi you appear to be just borderline osteoporotic. All bisphosphonate carry risks. Just as imortant to review your FRAC score. I.e 10 year fracture risk. Your Dr must have a good reason to be asking you to change meds. Orthopaedic drs are highly skilled and highly knowledgeable

    Regarding BMD

    You are very young to be oesteoporotic. Discuss any underlying reasons with your "BONE SPECIALIST" b4 deciding either way

    Good luck i am a qualified Hospital Pharmaceutical Technician also Oesteporotic foll rta . Bmd -2.5 starting Risedronate next week..

    If you need ever any dentistry work make sure your dentist knows you are taking drugs for Osteo

    Thanks

    Terru

    • Posted

      Yesterday I had severe lower back pain. This morning it was better when I woke up but the longer I sit the worse it gets. I will talk to my doctor about this today. I don’t think fosamax agrees with me and won’t be taking it again. I am unsure what my doctor can do to help decrease this pain, it might just have to run it’s course. 

      I’m also going to see if there is a pill that has all in one today as I take enough pills without adding more. If you have any suggestion on that I would greatly appreciate it. Thank you.

    • Posted

      There are special formulations claiming to support bone health.  You have enough information now to be able to look at the list of ingredients and decide whether it is right for you.  Just be sure the manufacturer is reputable and if your country has a regulatory system that it adheres to the regulations.  In Canada we look for a specific number on a supplement, this assures us that is has been licensed by the government.  This doesn't, of course, guarantee the product is going to be effective.  Bone supplements here are lumped together with things like homeopathic products, but at least I am reasonably sure the product contains what it claims to.  

  • Posted

    You seem very young to have these t-scores so perhaps try to consider how you could improve them naturally for the immediate future. Are you on medication that has a negative effect on your bones? Do you eat well, get sufficent sleep or feel stressed? Can you up the exercise, don’t smoke and improve your diet? If there is room for improvement, there is no doubt in my mind that you might be able to stay where you are for some time or even improve. However, if you already do everything advised you might want to listen to the medical advice given as you are still so young. 
  • Posted

    Hi,

    Please look into HRT therapy using Pellets.  This very effective way to replace your natural hormones is totally safe.  My osteoporosis has improved so that it is only osteopenia now.  I am 69 and had a hysterectomy at age 48.  Within 2 years of my surgery, I was diagnosed with osteoporosis.  Nothing worked and I tried everything.  The RX meds made me feel terrible (actonel, boniva, fosamax).  Plus the RX meds cause your body to produce the wrong kind of bone.  Check out this website for more information. Find a doctor who can help you obtain pellet therapy.  Plus you will feel great!  Your skin, hair, energy levels and sexual wellness will all be restored.

    FYI - I live in Arizona so if you are in Europe, there are probably doctors who specialize in this type of therapy.  It is not covered by my Medicare health insurance and costs about $1,000 USD per year.  However, my health is worth the $3 USD per day which is about the price of a cup of tea or coffee.

    Best wishes for your health,

     

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  • Posted

    Hi Sharesa

    i note it’s some time since you posted, how are you getting on with your OP?

    Best wishes

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