What if you cannot tolerate any osteoporosis drugs?

Hi tk design. Wow that’s such a coincidence that you mentioned both the SI joint pain and dr Newson. Her clinic is in fact the one I am dealing with. I am one of their clients. She has many doctors working with her . They are following me up with blood tests and video call in three months from my start. Also I agree about the muscle and tissue loss. It’s so hard for me to exercise like I used to now, without aggravating my SI joints and being in pain for days or weeks. I manage to get a walk in every day if I have slept ok. Plus I have an exercise mat etc in my home. I can’t really wait for too long before I begin the estriadol though as my OP is quite severe in my spine and I don’t want to fracture. I am quite small framed so only weigh 48 Kg and at 168 cms tall that’s a low weight. Keep in touch

On Tymlos, I had to decrease my calcium intake, because my 24 hour urine test showed way too much. I had three tests taking different amounts of calcium supplements. The only one that was even close to normal was the one with no supplementation. As recommended by my endocrinologist, I am trying to get calcium from food. I also have read that in Europe, the daily calcium requirement is 700 to 1000 mg per day, unlike our 1200 mg here. We keep getting mixed messages. My PCP pushes getting 1200 mg, because that is what is recommended here.

Algaecal and Strontium Citrate has case studies and small studies of beneficial results. Can also get this type of product from other sources for cheaper. But very positive reading.

Marodyne low frequency vibration plate as recommended by Margaret Martin 3x per day can make results even better

Looks like using weights amd resistance bands are just as good in terms of maintenance or percentage increases

Funny how doctors do not promote this. Crazy!

Notice how the results of Algaecal etc or HRT are about the equivalent of bone drugs anyway.

SO KEEP GOING!!!

Don't give up.

Adjust other things. Improve your diet drastically. Remember that we don't absorb as much nutrition as we get older.

We know being underweight is a correlate so get out of that zone

Cut alcohol and coffee, or balance and reduce eg coconut oil in coffee to reduce effect of leeching calcium and other minerals and proteins out of your bones

Improve your sleep eg 5 teabags chamomile tea and listen to rain noise in cabin

DHEA from orgasms, would you believe, apparently helps with a percentage increase

Amazing what improvements studies show work.

Think the HRT is excellent Baik et al 2024 say good to stay on it long term with patches and vaginal applications for all around longevity including cancer protection

@drsuefowler I, too, have very high urine calcium that was unfortunately doubled while on Tymlos-and I had to stop taking it. I tried a low sodium diet but that hasn’t helped. I am now going to try a plant based diet and low sodium. I have read studies recommending these dietary modifications-but am disappointed that the low sodium has not helped me, but it helps many, as does replacing animal protein with plant based protein.

@drsuefowler I, too, have very high urine calcium that was unfortunately doubled while on Tymlos-and I had to stop taking it. I tried a low sodium diet but that hasn’t helped. I am now going to try a plant based diet and low sodium. I have read studies recommending these dietary modifications-but am disappointed that the low sodium has not helped me, but it helps many, as does replacing animal protein with plant based protein.

Yeah that is what i am suspecting needs to happen. It makes no logic to say take more when it raises your levels. I understood when my levels were low on no drug to take more calcium...but now, i would assume this needs adjustment.

There are so many contradictory dietary recommendations. I was on mostly a
plant based diet, but recently added more dairy when my endo suggested I
get most of my calcium from food. I'm thinking Dr Doug Lucas even
recommends eating meat to get enough protein for bones. Others think that
meat is the worst thing you can do.

There are so many contradictory dietary recommendations. I was on mostly a
plant based diet, but recently added more dairy when my endo suggested I
get most of my calcium from food. I'm thinking Dr Doug Lucas even
recommends eating meat to get enough protein for bones. Others think that
meat is the worst thing you can do.

I know-figuring out what to eat and not to eat is exhausting. I don’t want to take hydrochlorathiazide for the high urine calcium-but that’s the treatment often used.

On Tymlos, I went from taking 1000 mg of calcium and had a 24 hr urine test which showed way too high. U cut back to 500 mg and still way high. I then took no calcium supplement and the results were just a tad above the normal line. These medications really do increase calcium levels.