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Great interview with Dr Keith McCormick, very helpful
Osteoporosis & Bone Health | Last Active: Sep 15 9:51am | Replies (31)Comment receiving replies
Good points. I think for me I lost a lot bone density after menopause. I was on HRT for 5 years and then stopped when the whole cancer scare thing blew up. At the time, I was seeing 2 Dr's - one for the HRT in Bio form and my regular Gyn. The GYN said oh you need to take the HRT for life. The HRT specialist firmly stated only take it for 5 yrs. max. It scared me! During the time on it, I had an unexplained Squamous cancer on my scalp, Dr's were quite perplexed regarding the origin. That was enough for me to stop the HRT! Back to your point about McCormick and his DEXA score, I too raised an eyebrow about that. Maybe he's a tough guy and thinks he can do it all and obviously his bone density does not scare him. He also mentioned that with very low scores, he would go straight to Prolia. I'm still trying to make the decision of what's next after my Evenity. Finishing in 2 weeks. Meeting with my Dr again to discuss this coming week. Fingers crossed 🙂
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It is a constant maze of conflicting information. My docs don't do bone markers and don't go near Prolia unless absolutely necessary due to intolerance of other drugs. They are "world class" doctors and researchers. I also talk to McCormick. Put it all in a blender and what do you have? A confusion smoothie!
I do think McCormick's fairly new advice to try Prolia for one year makes sense though we don't yet know if everyone's rebound will be sufficiently addressed even with that short of a time on it.
For my mental health I am sticking with my main endo. I am grateful he deals respectfully (and somewhat wryly) with questions I bring (whether from McCormick or this forum or research) and is flexible with my sensitivities. But I trust he has good reasons for not doing bone markers (He says they don't tell enough about what is going on, and are affected by other things going on in the body). He jokes that he will prescribe Prolia when he is retiring so he doesn't have to deal with rebound.