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What would you do? Medication.
Hi, I am interested in lay people opinions given I have received so much conflicting advice from MDs. It’s astounding and I’m sure I am not the only person who is confused and wary about any decision I make.
I am 68 years old and have significant OP – my T score is a -3.5. I was diagnosed in October. I knew I was genetically predisposed so have regularly exercised since my 20s and have maintained a healthy diet. Since the diagnosis, I have upped the frequency of weight lifting and the use of resistance bands and I am doing what has been advised in terms of diet and supplements.
My Plan D insurance will only cover Prolia and Forteo. I have decided against Prolia and am reluctant to start Forteo. Backing up a little, I enjoy adventurous vacations such bicycle trips and strenuous, long hikes. In September, for example, I hiked a portion of the Camino de Santiago. While training, I slipped and fell three times on big rocks and didn’t break anything. Last year, I took a bicycle trip in Europe. I tried out an electric bike which got away from me and I took a hard fall – it hurt, but no fractures. I know that my bone density is low as reflected by my low T score, but I also believe the quality of my bones is good, and the DEXA score is only part of the equation. One of my doctors said, “Oh, you did your own DEXA test.”
Like everyone, I want to avoid a fracture more than anything so I am willing to consider Forteo, but here is my concern: Is there a chance I might hurt the integrity of my bones by going on it? Might I inadvertently worsen my own situation by taking medication just to improve my DEXA score?
I also want a life plan that needs to last maybe 30 more years. We take a medication for a year or two, then switch to another medication for a year or two. Then what?? None of the MDs I have talked to have had a satisfactory answer. Maybe they are waiting for new drugs to hit the market.
I’m really struggling with the decision. I know I am the only person who can make it, and I will have to be responsible for the outcome, but I would really like to hear what thoughts others have. Thanks so much - any input is welcome.
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@bea4me, Wow, you have been through the mill. I wish you well applaud your resolve and determination.
I’m interested to know more about what the calcium score shows. Or means in regard to BHRT.
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1 ReactionSome docs believe “older” women are at more risk for heart disease if they take BHRT. This is what test measures:
: The scores and percentile ranking reported here are intended to enable
the physician to better evaluate a patient's risk of developing symptomatic
coronary artery disease. A full evaluation of cardiac risk should include an
assessment of all conventional risk factors. The scores and percentile rankings
reported herein should be evaluated in this context. The following table
provides a general guideline for the interpretation of the results.
Calcium Score Interpretation
0 No evidence of plaque. The patient's risk of a heart attack is very low.
1 - 10 A small amount of plaque is noted. The patient's risk of a heart attack
is low.
11 - 100 Plaque is present. The patient has coronary artery disease, but only
mild hardening in the coronary arteries. The patient's risk for a heart attack
is moderate.
101 - 400 Plaque is present in a moderate amount. The patient has coronary
artery disease and plaque may be blocking a coronary artery. The patient's risk
for heart attack is moderate to high. Consider additional testing.
Over 400 Plaque is extensive. The patient has coronary artery disease and there
is a high chance that plaque may be blocking one or more of the coronary
arteries. The patient's risk is high. Recommend additional testing.
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2 ReactionsI'm just starting BHRT with my new functional physician. So far, she has just ordered the estrogen patch and 50mg progesterone capsules. I like the patch, just leave it on for a week. I haven't tried the progesterone. I want to get used to the estrogen first. Also, I don't have a uterus so not sure I need it. How long do the pellets last?
Very informative video!
@chuckster1957, Meds can be devastating that's for sure. Wishing you well.
The pellets last 12 weeks. Testosterone?
Thanks Babs...
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1 ReactionI took the DUTCH test before I took anything. It showed in the norms for postmenopausal that I have progesterone, no estrogen, and low testosterone. I will be seeing the Dr soon and see what she wants me to do. I will ask her about testosterone. Thanks @gravity3
Hope the appt goes well for you.