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DiscussionI reversed osteoporosis without drugs
Osteoporosis & Bone Health | Last Active: Aug 26 8:42am | Replies (357)Comment receiving replies
Replies to "In the US, rural areas are lucky to even have a doctor. But you are right,..."
I personally think DEXA scores can help decide on taking meds (If under -3.0). We can also do TBS to see how bone quality is, but a DEXA under -3.0 can mean meds are needed.
The blood tests, in my experience, establish a baseline before meds to make sure meds are working as well as to guide transitions to follow up meds like Reclast.
So I am not sure your doctor was wrong. Keith McCormick, the author of "The Whole Body Approach to Osteoporosis" and the more recent "Great Bones' writes that at -3.0 and below, meds should be considered. My doc at a major urban teaching hospital affiliated with Harvard, also goes by DEXA and does not use blood markers. I see another doc as well, who does use bone markers, but my main doc has been right about everything.
One caveat: it is good to make sure PTH (parathyroid) is okay. High calcium would be suspicious for that.