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Hesitant to begin drug treatment for my osteoporosis
Osteoporosis & Bone Health | Last Active: Aug 10 5:31pm | Replies (288)Comment receiving replies
Thank you for all your information. I do not have a uNTX score and I will ask my GP about taking this test because it makes sense to establish a baseline before starting Fosamax. Months ago my endocrinologist ordered bloodwork checking calcium, vitamin D, phosphorus, TSH, PTH and she wants to recheck my levels in 2 months because my vitamin D was high and my phosphorus was low. I wasn’t a fan of taking a shot daily so I was not leaning toward Forteo. When I was at my appointment, I forgot to ask her about being on HRT and possibly taking Forteo so I will talk to her about it when I see her next.
Replies to "Thank you for all your information. I do not have a uNTX score and I will..."
My endocrinologist pointed out that HRT is much more effective for helping spinal mineral density but not so much for the hip.
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My apologies - I wasn't clear about uNTX; I should've specified urine NTX, which I thought you had a reading. I was wondering if your endo's Fosamax prescription was based on that result.
When given the choice, starting with a bone builder such as Forteo or Tymlos is generally more advantageous than beginning with an antiresorptive like Fosamax.
Bone turnover markers such as CTX and P1NP are now among the most recommended tools to monitor treatment, although their use is not yet a standard protocol. A baseline before therapy followed by a repeat lab a few months into treatment is a useful way to assess whether a drug is working.