51 yo just diagnosed with Osteoporosis

Posted by stacibw @stacibw, Mar 26 8:57am

I had my first DEXA scan at 49 and it came back as having osteopenia. I received a diagnosis of osteoporosis this week, with 14.7% loss in density and what my PCP called “aggressive” osteoporosis. Menopause at 47.

I’m healthy overall, no other medical issues. And I’m very confused and overwhelmed.

She recommended starting medications immediately, and said that she would allow me to use any of them that I wanted to try (pills, injections or IV) - specifically mentioned Fosamax, Boniva and Prolia.

I don’t know where to begin to educate myself. I WANT to attempt to combat this naturally - via diet and exercise, but I need to make the wisest decision.

Family history of long life - all maternal side until late 90’s, and paternal side into late 80’s - so long term bone health and overall health is important.

Where do I start?

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

amrh | @amrh | Mar 28 11:53am

Sequencing is very important if you take the drug route. For example Tymlos should NOT be taken after Prolia. And Evenity is most effective if taken before Prolia . Make sure your doctor is up to date on this.

windyshores | @windyshores | Mar 28 2:43pm

I hope you can see an endocrinologist.

Sue Ellen Murrey | @semurrey | Mar 29 12:41pm

In reply to @stacibw "Thank you for all of this info. Why do I need a rheumatologist or an endocrinologist?" + (show)

An endocrinologist is who you would want to see - they specialize in endocrine system which is what impacts your DEXA scores. I am 58 yrs and put into osteoporosis from breast cancer meds and I am starting with weekly Fosamax as seemed to be gentler than annual IV infusion of Reclast (unless you have GERD) as well as having a bit fewer side effects. My numbers btw -2.7 and -3.0. Good luck and keep us posted! x