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Scared by latest DEXA showing severe osteoporosis. Need advice.
Osteoporosis & Bone Health | Last Active: May 13 12:07pm | Replies (58)Comment receiving replies
It looks like your spine hasn't been great for awhile, and had a recent drop that is significant. I think most of us would tell you that a bone builder would be best (Tymos, Forteo, Evenity). Reclast, Fosamax and Prolia are anti-resorptives, which means they increase density by lowering bone turnover, not by building new bone the way the other three do. I hope you can discuss this with your doctor.
Insurance companies like doctors to prescribe an anti-resorptive first (they are cheaper) but with low DEXA scores and/or fractures, your doctor can try to authorize a bone-builder.
You might want to read up on options (McCormick's "Great Bones" is one I like) or watch some videos (I like Ben Leder MD's video on Combinations and Sequencing on YouTube).
crossposted with @babs10 !
Replies to "It looks like your spine hasn't been great for awhile, and had a recent drop that..."
helpful reply; I've been on Tymlos 1.5 years and am eager to find out my newest Dexa as I have to switch out after 2 yr marker this fall. I'm in the -3.3 range/spinal too...so am hoping for a big improvement; play pickleball almost daily and lift, etc. but have already lost 2" in height and I'm only 64! Appreciate the readings/video referrals...will get on it and be ready!
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I read you can only be on the bone-building drugs for 2 years and then you have to go on an anti-resorptive like a Bisphosphonate. Is that true? Do you have an opinion on which bone building drugs might be best, and do you know how effective they really are at improving DEXA scores and preventing fractures? I'd really like to avoid taking any drugs, do you think I don't have that option? Thank you so much.