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What would you do? Medication.
Osteoporosis & Bone Health | Last Active: Aug 25 4:22pm | Replies (283)Comment receiving replies
I am hoping you all can give me thoughts and experiences on different treatments, as I find myself a bit paralyzed in my decision making. I am a breast cancer patient in remission, I am about to have my second hip replacement and I have had some dental surgery.
I won’t get a DEXA hip score any longer, so primarily interested in the spine. My current spine score is -3.0. I have ruled out Evenity because of cardio side effects and I understand it affects the immune system. The daily injections worry me about infections with artificial joints. I am considering Fosomax and wondered how much people have improved scores with Fosomax. Thanks.
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Fosamax is not a great choice for building quality bone. You are better off with an anabolic like Tymlos or Forteo. Yes, they are daily injections, but infection should not be an issue. The needles are disposable, one-time-use only, and are very small.
If you're avoiding Evenity, then I think Tymlos is your best bet for your spine. You can take it for up to two years, and then you'd use Fosamax for a period of time to lock in the gains. This is actually the recommended treatment nowadays: a sequential approach where you start with Evenity/Tymlos/Forteo, and then follow up with a bisphosphonate.
Just to give you one example, my spine T-score went from -3.0 to -2.0 in less than a year on Tymlos. Many people have had similar results. That kind of improvement would get you "out of the woods", so to speak. Add exercise and nutrition at the same time, and odds are that you'd do well.