Is medication really necessary?

Posted by sgtmlt2 @sgtmlt2, Mar 27 6:26pm

I was just diagnosed with osteopenia and they recommend that I start on Reclast. The idea of more pharmaceuticals isn’t appealing and I would like to know if weightlifting, a very focused diet, and perhaps the addition of supplements could be sufficient? I welcome any and all recommendations.

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

Thank you! Would love to stay in touch!

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@doreenc

It's more of a matter of personal choice and how you want to treat osteoporosis. I was diagnosed April 2024. I decided to try to reverse (even a smidgen) or at least maintain my scores through other means instead of meds. I'm not ruling out meds but I decided that this was my plan for the next year or so. I had planned on getting a DEXA this April to see if my lifestyle changes are working but my new endocrinologist suggested waiting 2 years to determine if it's helping or worsening my osteoporosis. I take a multitude of supplements, carefully curated by me after extensive research and made significant dietary changes.

I can't tell what's going on with my bones throughout all this without a DEXA at the moment but I do see other changes which I (and my endocrinologist) find very interesting. My hair was always super thin and had a significant bald spot near my hairline, has now grown a lot of new hair (no more bald spot!). Even my hairstylist asked me where all this new hair is coming from. More significantly (and perhaps more bone related) is the fact that in September I developed a significant vertical crack in my front tooth. In the beginning it wasn't too noticeable and it didn't compromise the tooth. By Thanksgiving, the crack worsened and could be seen clearly in photos. I kept putting off going to the dentist because my schedule was insane last Fall. Then by January I noticed something peculiar. The crack was beginning to slightly fade and has continued to do so. It's now March and there is absolutely no crack at all visible in the tooth. In addition, the lower part of my top teeth which were very transparent have now completely solidified. In other words, my teeth remineralized due to the increased calcium and phosphate in my saliva which is due to the increased supplementation.

For years (decades?) I always battled high cholesterol by eating a Whole Foods/Plant based diet 80-90% of the time. I ate beef only a few times a year and occasionally would eat salmon. I did this to avoid taking a statin and was successful in keeping my cholesterol levels low. The downside: I consumed very little calcium (hello osteoporosis!) and very little animal protein. Now I take calcium supplements (dose dependent on how much dairy I consume daily) and am fanatical about monitoring my protein intake which includes a fair amount animal protein.

If you're interested in trying more natural approaches for osteoporosis, take a look at the Facebook group "Osteoporosis Natural Remedies". Between this Mayo Clinic group and the Facebook group, you will find so much valuable information and support. Also check out Margaret Martin's website "MelioGuide" and of course Dr. Keith McCormick's "Great Bones" which is the most extensive book written on the subject by someone who had osteoporosis himself.

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I would love to know your supplement routine. I am in the same place and just started Fosamax and not liking the side effects. I do all the right things but would love a natural approach rather than meds

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I don't know... if all we had to do was take supplements, nobody would have osteoporosis. That sounds way too simple to me.

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@sgtmlt2 I will post my experience, and path, as I understand and know, everyones is different. I was diagnosed with severe osteoporosis in 2023, and was diagnosed via a dexa scan. My doctor wanted to get me on Reclast asap, and unfortunately I had a twrrible reaction from Reclast and An allergic reaction. I was very sick for over 2 weeks from this, and knew I couldnt try this therapy again. I continually looked at other therapies, and eventually found this forum, last year just after my Reclast infusion. I remember many people speaking about a Echolight Rems Scan. The hospitals here, where I live, dont offer this, however, I found a clinic that offered it, for $235, insurance did not cover this. However, after having the Echolight Scan in the earlier part of this year, I was told, shown, that I did not have severe osteoporosis. This was great, and information that someone recommended on this forum. I was shown the scan, and was given detailed information regarding where I was. There are 3 zones on the scan, green, yellow and red. Green is a healthy place to be regarding bone density and integrity. Yellow is noted for osteopenia, and red for severe osteoporosis. I wish I had had this scan prior to the Reclast infusion, but none the less, the information was received and applied. I do feel that the scan was imperative to noting the real integrity of my bone, as if I hadnt learned this, I would have continued down an unnecessary path of medications that were not needed and a diagnosis that was clearly wrong. If you can get the Echolight Rems scan, I would do that first. They actually show you the readout of the bone, and there is no radiation or pain. I am going to focus on muscle and strength training, as a form of ensuring healthy muscles, bones, to keep myself within that healthy zone. I have already started lifestyle and diet changes, incorporating supplements as necessary. I have noticed many positive changes. I realize that this may or may not be a path for certain people, however, ask questions, research, discuss your goals with your doctor, and utilize whatever information on this forum. For me it proved vital.

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@detc

Thank you. The supplement is New Chapter Plant Calcium Bone Strength. The calcium is derived from organic algae. You can find more information on New Chapter’s website. Good luck.

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I notice that the New Chapter supplement contains strontium. It seems that most of the success stories from supplements include strontium. Others have had success with Osteo-Naturals mineral whey and algaecal with strontium. I thought I had heard that strontium is not good to take, but it may be the secret ingredient. It is very difficult to land on the right supplement.

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A while back, someone posted on here that more people post what didn’t work and bad side effects, than post what did work for them. Something to consider. This is a very small cohort, though it’s great to hear of other’s experiences. I hate taking meds but I trust the endocrinologist and cardiologist that I go to.

My experience is I did fine on alondronate for 3 years. After a year of weight lifting twice a week my spine, on DEXA, went to -0. Hips stayed around -2. I now am getting Evenity injections. Per the endocrinologist I take 500 mg of calcium and 2000 mg of D daily. Gratefully I don’t have side effects from any of the medications I take.

I am 95% plant based. My urine test (pee in a hat) showed i have enough calcium in my body so that wasn’t the cause of my osteoporosis. I started the meds when I was 68 or so. Am 72 now and very active.

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@njx58

I don't know... if all we had to do was take supplements, nobody would have osteoporosis. That sounds way too simple to me.

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Not simple at all and meds may still be in the future for me but I owe it to myself to give my routine a chance for the next year or two. In 2018, I was given a prescription for a statin due to my high cholesterol. I thought about taking the drug like millions do (including my husband and most of my friends) but decided to use myself as a test subject adhering to dietary changes. It worked beautifully. Grant it, treating osteoporosis is far, far more difficult than managing cholesterol but I'm not looking for a miracle here but rather if I can maintain my DEXA numbers or perhaps improve my scores only a smidgen I would happy with that result. The results of my next DEXA results (in 2026) ) will determine what I do next.

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@smripkin

I would love to know your supplement routine. I am in the same place and just started Fosamax and not liking the side effects. I do all the right things but would love a natural approach rather than meds

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My supplement routine;
Morning:
3 prunes
1 multi (w calcium) /Bayer 1x Day
2 curcumin (Thorne)
2 fish oil (Nordic Naturals Ultimate Omega Extra)
1 calcium (Citracal Petites w D)
1 vitamin D (Thorne 1000 IU)
2 vitamin K/mk-7
(Life Extension Low Dose)

Afternoon:
3 prunes
3 magnesium glycinate (Pure
Encapsulations)

Evening
2-3 calcium (Citracal Petites w D)
1 vitamin K (inc. K1 & K2/mk-4
and K2/mk-7 (Thorne)
1 vitamin D (Thorne 1000 IU)

Total vitamin D: 4000 IU (including what's in the fish oil, multi, and Citracal).

I take 2 separate vitamin K dosages (and separate brands as well) in order to have a total of 180 mcg. of vitamin K/mk-7.

Over the years, I had consumed very little calcium and very little (complete) protein by adhering to a whole food/plant based diet 80-90% of the time. Now I eat around 50g of protein/daily (mostly complete protein) spread throughout the day, and eat yogurt for calcium and protein as well as other dairy. Protein is very inportant for bones as well.

Also check out the Facebook group "Osteoporosis Natural Remedies". It's so interesting to see other people's approaches to dealing with their osteoporosis in a variety of ways.

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@lamd

I notice that the New Chapter supplement contains strontium. It seems that most of the success stories from supplements include strontium. Others have had success with Osteo-Naturals mineral whey and algaecal with strontium. I thought I had heard that strontium is not good to take, but it may be the secret ingredient. It is very difficult to land on the right supplement.

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You’re correct. It does contain strontium. There are some studies that suggest it can help bones. Everyone is different and it may not be recommended for people with certain health issues. It’s always a good idea to do as much research as possible before making a decision about new supplements or medications. It can be complicated and confusing to determine the best course of action. Good luck.

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@doreenc

My supplement routine;
Morning:
3 prunes
1 multi (w calcium) /Bayer 1x Day
2 curcumin (Thorne)
2 fish oil (Nordic Naturals Ultimate Omega Extra)
1 calcium (Citracal Petites w D)
1 vitamin D (Thorne 1000 IU)
2 vitamin K/mk-7
(Life Extension Low Dose)

Afternoon:
3 prunes
3 magnesium glycinate (Pure
Encapsulations)

Evening
2-3 calcium (Citracal Petites w D)
1 vitamin K (inc. K1 & K2/mk-4
and K2/mk-7 (Thorne)
1 vitamin D (Thorne 1000 IU)

Total vitamin D: 4000 IU (including what's in the fish oil, multi, and Citracal).

I take 2 separate vitamin K dosages (and separate brands as well) in order to have a total of 180 mcg. of vitamin K/mk-7.

Over the years, I had consumed very little calcium and very little (complete) protein by adhering to a whole food/plant based diet 80-90% of the time. Now I eat around 50g of protein/daily (mostly complete protein) spread throughout the day, and eat yogurt for calcium and protein as well as other dairy. Protein is very inportant for bones as well.

Also check out the Facebook group "Osteoporosis Natural Remedies". It's so interesting to see other people's approaches to dealing with their osteoporosis in a variety of ways.

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Thank you so much, this is so helpful and I may take a page out of your playbook. I am having trouble with the Fosamax and will stop taking it. The side effects are too much for me. I’m going to try the more natural way.

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