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Accuracy of DEXA Scans

Osteoporosis & Bone Health | Last Active: May 19 6:03pm | Replies (74)

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@doglover71

Note: Please excuse me if I am repeating information said by others but although I have recently been unable to carve out time to read entries on this site, I felt compelled to respond here.

I, too, want to thank Windyshores for suggesting that I get a second opinion after responding to my thread where I questioned my doctor's suggestion about taking Evenity after stopping Prolia. I was already unsure about taking it so I decided to take another dose of Prolia in order to have time to research the options. I went out of town (returned this past Tuesday) to have a consultation with an endocrinologist who has had extensive experience with atypical femur fractures of which I've now two.

The most important thing that I learned was that deciding to take osteoporosis medications should not be decided on a single issue. Your age, activity level, medical history (including pre or post menopause, etiology of any previous fractures) and nutritional habits should all be taken into account. He felt that the decision to take an osteoporosis medication is a balance where you make a judgement about the percentage of chance that the treatment will help someone avoid getting a fracture from osteoporotic bones. He also said that there are people who have thin bones, as diagnosed by a Dexa Scan, who never fracture but there's no way to determine who will or will not succumb to a fracture. By example, I fell off a horse in my thirty's. I was an active person who enjoyed white water rafting, horseback riding and being out in nature. After my accident, my doctor saw my bones were thin around the healed L-2 spinal fracture from the accident and started me on Actonel. Unfortunately it was not known at that time that short time use was recommended. I was on it for decades which ended when my first atypical fracture happened. We can't know for sure but he suggested that I probably should not have been put on that drug at that time.

So now at 71 years old I've had an atypical fracture in both femurs due to osteoporosis medication. (put on Prolia 10 years ago). In my consult, it was recommended that I get off all osteoporosis medications. My plan is to stop prolia, take Alendronate to for 18 months and then take a drug holiday. That sounds right for me given my situation. But I would like to echo the suggestion of Windyshores and suggest that you consider a medical consultation to help you make your decision.

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Replies to "Note: Please excuse me if I am repeating information said by others but although I have..."

So all your previous treatment for your situation was prescribed by your PCP? Best of luck with your strategy now....I am thinking of a similar approach but I am now in osteopenia territory. Have no sense about your DEXA score.