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@lhankins

@nme1985
I too have developed some suspicion over the first step being designer drugs. When the Women’s Health Initiative study came out, HRT was tossed as a method of dealing with osteoporosis. The bisphosphinate industry jumped right in to fill the gap. Everyone is coming here at a different place and time in their stage of Osteoporosis. I do believe the training for MD’s is pharmaceuticals since they want the quickest results. If someone is actively fracturing I get using these drugs. The fracturing needs to be stopped! However; a more nuanced approach just makes more sense in the earlier stages. With that said, I realize the nuanced approach takes more time and physicians just don’t have that time. In my area (I think this is common) my doctors see 35-40 patients per day. They are simply overloaded. I would like to look into the testosterone pellets as well. I have heard it is good for both bone and muscle mass. I wish you the best in your bone health journey. Like you stated, this site is invaluable and I have learned so much from the experience of others in all stages of this disease.

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Replies to "@nme1985 I too have developed some suspicion over the first step being designer drugs. When the..."

We are wise to question, but should remain open-minded. I have had two REMs a year apart, and like others here, my lumbar score is significantly better on the REMs, and my femurs are better on the DXA. The second REMs showed no change in the lumbar (yay) and slight decline in hips, but perhaps not statistically significant. I choose to find reassurance, but realize there just is not enough information yet for doctors to share in that conclusion. I get it, and I am always cautious in the way I present this information to my PCP or endocrinologist. I find that if I come with questions and not preconceived answers, they respond with curiosity rather than defiance. If I state early on that I am open to medication but not yet ready, I find they listen better to my concerns. I make it clear that I take full responsibility for my choice to wait a little longer, and that I value their opinion. I do believe that most doctors want us to be healthy and are worried about fractures. I agree that they just don’t have time to stay current on all of the many pieces involved.