Osteoporosis meds: How do they work?

@jakeduck1

Sashimi is not the same as sushi. I've eaten sashimi but I have to dip mine very lightly into soy sauce (I don't like wasabi) as it is just thinly slice raw fish with no accompaniments like rice. Sushi is either a fish encased in seasoned rice or seasoned seaweed sheets. There's different types of seaweed...I have had it in Japanese soups but the seaweed I eat is seasoned and has the consistency of coleslaw...somewhat. Probably more of an Americanized version.
I would not broil salmon. Depending on how it is cut...either flat like a fish fillet or thicker and narrow, I usually put mine in a pan on top of the stove with a little heated olive or avocado oil and place the skin side down until it is crispy. Then I flip it and pour a butter, EVO, fresh garlic and dill mix sauce over it , put a top on the pan on low heat, take it off after a few minutes and let it sit. If you flip the piece over the crispy skin (which some people eat) comes off nicely after the fish is done. Or I make the butter garlic sauce and just pour it over the fish and put into my toaster oven without putting it on the pan.
Its fast and I have added fresh squeezed orange and lemon to the sauce. Don't overcook it and you probably will with the broiler especially if it is a flat piece. You don't want it to dry out. I like and prefer cold salmon and use in salads. Also pat the fish dry and leave out about 20 minutes or half hour to bring it to room temperature.
A lot of people don't like salmon (my gourmet cooking son hates it) but prefer other fish. I like Orange Roughy because of its delicate mild taste but it contains more mercury than salmon so I don't buy it that often. I love Cobia but usually cant' find it. Stay away from Tilapia as it's a junk fish.
That's our cooking lesson for today....have fun in the kitchen and don't even try to put the fish in a toaster...I remember your exploits with the steak.

@lioness
The chocolate would harden if I let it cool off...dang. I'm thinking a snickers bar. I have no excuses as big pills don't bother me. I wonder if anyone has invented a pill pocket for humans...much like the ones we give to dogs. It would be like a tiny hot dog rolled in dough. No...that wouldn't work as it has to go down easy without chomping on it. I'll think about it more and let you know when they approve my patent and it hits the stores.

Wine time here in Florida
Mary

Citric acid is one of those anti-nutrients. It doesn't matter if there is added sugar to applesauce for me - just the sugar from the apple is enough to disqualify it. The olive oil trick is so easy - I am very happy. It's almost like you don't even feel the pill going down!

Fish should only be cooked for 8 minutes max. The broiler will kill your salmon!!!! I eat salmon three times a week - my parrots love it. I just sauté it on top of the stove in a little sunflower oil. I had a big piece of it last night. So good. Sometimes I eat it with chipotle aioli. I love raw fish - I had a big bunch of sashimi last Thursday as a treat. You have to get very high grade fish - you really don't want to get any parasites from eating raw fish. The cost is the only reason I don't eat it every night of the week.

I will post a little about anti nutrients in the next few days. I read something that makes identifying many of them very easy. This is where nutrition gets very confounding!

Sadly I have meningitis which I got from IVIG. On top of that - I have to get an EMG done today and I am NOT looking forward to that one bit. I thought I would get out of it because of the meningitis - but the neurosurgeon said to come in anyway and get it done. This is my least favorite thing to do. Please hold a good thought for me.

Sugar is sugar. I pay attention to the sugar content in fruit as well as vegetables. The only fruit I have eaten in the past five years are lemons, one-half of a green apple every other day, and 5-6 berries per day. Absolutely no fruit juice. I also avoid high-sugar vegetables such as beans, peas, root vegetables. I am actually allergic to sugar at this point. I also check the amount of sugar in my medicine. I have to get infusions of IVIG every three weeks. I found a type of IVIG that has less sugar - it is used by diabetics and now I am using that brand only. Last time I had to have a colonoscopy, I used pills rather than drink the stuff in the big jug because it has a lot of sugar in it. I check the amount of sugar in everything I eat. I do not consume bread. I did find a sugar-free chocolate I can eat - but I can only eat a little of it because it has Maltitol in it which can cause diarrhea. It can also cause me to have hives unless I eat it with something high protein (nuts). I do not consume things like maple syrup, honey and other "healthy" sugars because sugar IS sugar and it is all bad for your body. I'm my case, I have candida overgrowth because I must take a low dose of cortisone for my adrenal insufficiency. Sugar feeds candida (as well as cancer). In order to starve the candida (or cancer), you have to stay off ALL sugar. I use Stevia and Xylitol if I need a sweetener - which is very rare. Sugar causes inflammation and inflammation causes disease. The only way you can realize what an effect sugar has on you is to go off it. My life is SO MUCH BETTER since I stopped consuming sugar.

Not the answer I wanted to hear, haha, but thank you so much for the details

@jakedduck1 Just about all of these things are important parts of a healthy diet, but many do not really need supplementation. Strontium does cause inaccurate results in DEXA scans.
Vitamin K supplementation can help the bones of post-menopausal women, apparently, both K1 and K2 are helpful, per this article:
https://www.webmd.com/vitamins/ai/ingredientmono-983/vitamin-k

As with everything, there can also be too much of a good thing. Too much calcium can lead to Hypercalcemia
"a condition in which the calcium level in your blood is above normal. Too much calcium in your blood can weaken your bones, create kidney stones, and interfere with how your heart and brain work. Hypercalcemia is usually a result of overactive parathyroid glands." taken from the Mayo Clinic site.

Too much magnesium can also have negative effects. Again, from the Mayo site:
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/magnesium-supplements/faq-20466270

This is very true of many of the things we need, you often get enough from diet.

Also, I buy wild salmon at least once a week. I just brush a little olive oil on it and bake it in the oven. It is also good with some teriyaki sauce brushed on. Even though I use the lower sodium one it is still a bit high in sodium for me so I don't do that as often. If you leave the skin on, after baking it just slips right off of the fish. It is excellent cooked on the grill too.
JK

I read that Prolia is the new Fosamax. I am so confused about these drugs. I have to do something about my osteoporosis because my t-
score is not good. My doctor wanted me to take Prolia but when reading about it and see it advertise on tv I refused to take it.

Good afternoon @delo6. Welcome to Connect. You are asking a good question about osteoporosis and I see that you too are confused by the medications, their effectiveness, and the potential side effects. The purpose of Connect, by the way, is to provide a place to share concerns and questions. All posts are read by moderators so that you can trust the authenticity of the words.

So, let me start by telling you that as soon as I began Boniva, one of many bisphosphonates, I had a serious negative reaction and had to stop immediately. I then spent several months researching the bone-building
options, Foreo and Tymlos. Since that time Evenity has been added as an option. I chose Tymlos and had daily injections for two years without any side effects. I was able to become stable or slightly improved when it was time for proof from a Dexascan.

Recently, I "graduated" to Prolia to try to make sure that the new bone stayed in place. Prolia is the only non-bisphosphonate for the stabilizing efforts after building bone. I will have my second injection this month and once again there have been no negative side effects.

I wish you well in your decision-making process. It is not easy. Are you seeing an endocrinologist right now?

May you be free of suffering and the causes of suffering.
Chris