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What would you do? Medication.

Osteoporosis & Bone Health | Last Active: May 21, 2024 | Replies (232)

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@windyshores

@triciaot your numbers are pretty darn good! It seems yours is a case where Reclast for maintenance is working well. Those of us with worse scores need a bone builder first. And I get the cancer aspect (I also have had breast cancer and look forward to that potential benefit from Reclast). Good luck!

ps It's a good reminder that a bisphosphonate can be appropriate for front line treatment. So often we say bone builder first. But with scores hovering around -2.5 or even better, it seems Reclast is a good choice.

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Replies to "@triciaot your numbers are pretty darn good! It seems yours is a case where Reclast for..."

Sometimes what I think I’m expressing in my post gets mixed up with too many words.
I wanted to share that - good diet and adequate exercise does not necessarily protect some of us. Osteoporosis is not a failure of following diet/exercise protocols.
- that Reclast can bring numbers up - I’d question whether recent declines in bone density respond better than those that have been very low for many years. There are many examples of chronic conditions where the body no longer responds to treatment as would be expected when earlier treatment is started. I realize my numbers at 2.9, 2.8 were not as low, but a very recent drop into the -3s might be more easily recovered. Something to consider.
- that drugs affect change more/less in different areas. A review of protocols/outcomes showed that a combination therapy of Forteo and Reclast had a higher bone density rise; the Forteo built back more in the hip and Reclast built more in the spine. Daily oral alendronate has been shown to block the bone from benefit from a bone builder like Forteo. But the study I looked at showed that a yearly infusion of the biphosphate did not have the same action in women who were also taking Forteo.
I’ll try to be more careful. I didn’t want to imply that a bone builder wasn’t needed.