Prolia Vs. Aclasta

Posted , 8 users are following.

Which is the better treatment for osteoporosis for post menopausal woman of 77 years Prolia (denosumab injection) or Aclasta (zolendronic acid) ?

1 like, 42 replies

42 Replies

Prev
  • Posted

    With these results there should be NO NEED for any osteoporosis medication.  By doing load bearing exercise and making sure her diet and supplements contain the nutrients she needs for her bones to maintain and even improve their density and strength she should do well.  Where do you live?  If you are in a Western country but of Indian ethnicity it's possible the DXA scan results are inaccurate as they may not take into account her body build which may naturally be lighter than a typical large American of northern European descent, for example.

    • Posted

      Can you make a diet chart for her? In India there is a subsitute for Aclasta (zolendronic acid) and that is Stoplos One (zolendronic acid) from Zydus Cadila. Should she take that injection once in a year?
    • Posted

      I can only tell you what I have been eating.  I am vegetarian but I do eat cheese, yoghurt, and drink a little kefir as well as having milk in my tea.  Yoghurt has been shown to help with the absorption of calcium.  I eat a lot of leafy green vegetables, especially kale and broccoli, you can read on line which greens are the best sources of calcium.  I eat fermented vegetables like sauerkraut, kimchi, and others - all available at my local farmers' market.  I eat very few grains, whole grain rice more than others, very few processed foods, sugary foods are a treat, not for everyday.  I know tinned fish is a good source of calcium if the bones are also eaten - salmon and sardines.  You can find other calcium-rich foods by googling non-dairy sources of calcium.

      An important supplement is Vitamin K2.  Not K1, she will will get that from her leafy greens and it has a different function in the body.  Vitamin K2 actually sends calcium into the bones and seems to be something which has helped those of us who have improved our bone density without taking any medicines.  Another nutrient which is gaining more recognition is boron, and again you can find out on line which foods are rich in this element.  

      Sorry, I have no medical training so cannot give advice about medications.  

    • Posted

      Added to what Anhaga has said which is all very good advice::

      I have bony broth with lots of vegetables. You start with a meaty bone which could be chicken or lamb or beef and then add all the vegetables you have to hand. I also have pearl barley and mushrooms in the soup.

      We have this every week for half the week which saves cooking every day.

      I have fruit and yoghurt, cheese, leafy greens, fish, tomatoes, avocados, some bread, eggs, some prunes(which would help your mother with constipation and better for her), oats, honey, milk, etc.

      Typical Day:

      Breakfast

      one piece of toast with one teaspoon butter and one teaspoon honey

      half cup cooked porridge with milk and one teaspoon honey

      cup of tea with milk

      Lunch

      piece of toast with tuna, cheese and tomato then grilled

      cup of tea with milk

      afternoon tea

      one orange cut into quarters

      Dinner

      bowl of bony broth with vegetables as described above

      Supper

      yoghurt and strawberries

      Total calories for the day 1200 or less

      Your mother can add six prunes every day and extra food if she needs to but I have to watch my weight.

      I am similar in age and health conditions except my osteoporosis is much worse and I do not take the drugs for osteoporosis but try to help with diet and some exercise.

    • Posted

      Your lunch is better than mine, but I like my breakfast better:  one orange, 1/3 cup raw organic pumpkin seeds, two fried eggs, large mug of tea with milk.  😋

    • Posted

      My mother does not take tea with milk. Milk causes her acidity and heartburn. She drinks 4 to 5 cups Green Tea without milk. Is it harming her bone density? Can she take green tea with honey?
    • Posted

      Green tea is supposed to be the best health wise. She can add some honey if she would like that.
    • Posted

      I vary it all a bit. Mainly counting calories. Some things never change like the yoghurt. Some nights we have fish. We have avocado often. Always make sure I have lots of vegetables and two pieces of fruit. This morning we had eggs, bacon, avocado and tomato but no toast. Lunch can be a sandwich with ham or tinned fish and salad. Supper is always yoghurt and fruit. Tomorrow we are having a Sunday roast with our family who live nearby which is a roast chicken and vegetables.
    • Posted

      Milk isn't really the best source of calcium anyway; I was just telling you and Kathleen what I eat for breakfast to give you ideas, not necessarily recommending anything.  I find tea without milk gives me gastritis, so we are all different!

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.