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Hesitant to begin drug treatment for my osteoporosis

Osteoporosis & Bone Health | Last Active: Aug 10 5:31pm | Replies (288)
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Profile picture for steinbeck @steinbeck

I am an active 61 year old who has had osteoporosis for at least a decade and I have not taken any medications for my osteoporosis except vitamins. In October I started HRT which my gynecologist prescribed and I have had good results (NTX score from 2 months ago shows bone building and my Dexa scores improved in the spine and femoral neck). My endocrinologist prescribed Fosamax which I haven’t taken yet. My GP recommended not taking Fosamax since I’m having good results with the HRT. Can anyone offer any guidance about taking Fosamax and HRT?

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Replies to "I am an active 61 year old who has had osteoporosis for at least a decade..."
oopsiedaisy | @oopsiedaisy | Jul 10 6:54pm

I was on both Fosamax and HRT for over five years. Never really thought about it or paid any attention to it. I had no issues at all.

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mayblin | @mayblin | Jul 10 9:13pm

@steinbeck would you be open to sharing your T score and/or FRAX score? If it's not severe osteoporosis, HRT could be a very reasonable choice, in my opinion. NTX is a marker of bone resorption, not formation - so if it becomes sufficiently suppressed, bone loss tends to slow down. This may also lead to some increase in bmd over time. What form and dosage of estradiol are you using?

I'm also on bioidentical HRT since finishing Forteo, a bone-building treatment. My CTX - another bone resorption marker - dropped so much that my endo described it as "minimal bone turnover". So for now, HRT alone seems sufficient to maintain my bone mass, which was confirmed by a DXA scan.

Did your endo recommend adding Fosamax to your HRT regimen? What was your recent NTX reading?

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