What to do!

Re all the bad possibilities of numbers like mine at my age (86), I am doing pretty well considering. I am single (divorced my ex eons ago) & have run a cat rescue here for almost 20 years. I have 9 in my house, some of whom sleep with me regularly. I have always wanted a magical genie to come do the litter boxes but so far none has appeared
I also have had COPD for a while, maybe 6 years. Osteoporosis is my latest gift & one I would very much like to return!
I have only fallen once, about a year ago,& fractured a bone in my wrist which hurts on occasion & then I wear that bionic looking brace for a while & things are better.
I live in Wisconsin on a little Wisconsin River village where there is a place right next to the river that serves wonderful macaroni & cheese & dark beer. I am going to head out there now!

With those numbers at your age I don't think you have much choice, sadly. -2.5 is officially osteoporosis. My doctor told me that older osteoporosis patients sometimes fracture their bones merely by turning over in bed. As to Fosamax v. Prolia all I can say is that Fosamax gave my mother severe jaw problems, so I am biased. Others will be in a better position to comment.

I did very well on Prolia and no side effects for many years. When you go off though, after a number of years, it does need to be followed by Reclast infusion for a year or another antiresorptive drug so you don’t lose what you gained. I was fine on Reclast after feeling fluish for first few days. Good luck!

@windyshores , @gently @mayblin i wasn’t sure where to post this. I just received a denial for prior authorization for Tymlos saying the medicine can only be approved if the patient has a diagnosis of postmenopausal women with osteoporosis (my hip is -3.8) at high risk of fracture. I fractured my hip and wrist 5 months ago.

Dexa says 10 year fracture risk not reported because some t-score for spine total or hip total or femoral neck at or below -2.5. My spine is -3.1 and my femoral neck is -2.4.

Should I first talk to my doctor on how to appeal this? Any advice would be appreciated from anyone who has gone through this. Thanks so much.

@windyshores , @gently @mayblin i wasn’t sure where to post this. I just received a denial for prior authorization for Tymlos saying the medicine can only be approved if the patient has a diagnosis of postmenopausal women with osteoporosis (my hip is -3.8) at high risk of fracture. I fractured my hip and wrist 5 months ago.

Dexa says 10 year fracture risk not reported because some t-score for spine total or hip total or femoral neck at or below -2.5. My spine is -3.1 and my femoral neck is -2.4.

Should I first talk to my doctor on how to appeal this? Any advice would be appreciated from anyone who has gone through this. Thanks so much.

You could start a new discussion so more ppl can see your message and chime in. You need an endo to appeal and appeal again

There are frax calculators online, different versions, that you can use to calculate your frax risk. But your recent fractures could easily put you in osteoporosis category even you have t scores in osteopenia range. Some endos diagnose op that way. Of course, the circumstance under which you broke your bones counts.

Yes. Make it known to your doc and see if he is able to intervene in some fashion