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How bad is a spine T-score of -4 ?
Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (68)Comment receiving replies
thankfully I haven't as yet. I've been fortunate to have come upon this wonderful community in my search. I was relying upon chatgpt but have realised it's not enough at all, and yet I gathered more answers on it than the doctor!
The importance of getting the bone markers before the medication is so important as well as doing it 3 monthly to track it's progress and deciding on the next treatment based on blood tests as well as dexa [not only dexa!]
what I learnt from chatgpt is that prolia builds while zoledronic acid preserves so that gains are not lost and prevents the rebound.
yet I was under the impression that once started I 'll be on it for life which was daunting. Dr. keith mc cormick gave hope that it's possible to get off while keeping track so that one can restart it if required. tho I have yet to understand it better 🙂
thankyou for the guidance & encouragement, a big hug
Replies to "thankfully I haven't as yet. I've been fortunate to have come upon this wonderful community in..."
Have you listened to this podcast from dr mccormick and Margie Bissinger? Very educational. He is so good at explaining the various medicines and how they work at the cellular level.
What I have learned is that not all bone drugs work. I am one after a year on Prolia with basically no gains and no you don’t have to be on Prolia for life.
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@shaila If you'd like to take a deeper dive, you might want to check out Tymlos, Evenity and Forteo as alternatives to Prolia. Amongst others, @gently has experience with Forteo, and @mayblin has experience with Tymlos (as do I).
There are pros and cons to all of these medications. As you can imagine, these are powerful drugs. You will find many reports of negative side effects here, all of them valid. I would like to suggest that you also search for positive responses to these medications as those are valid too.
For reference, I have been on Fosamax, then Evenity for one year, Tymlos for one year, and I had my first Reclast infusion in May 2025. So far, so good!
As always, best wishes to you moving forward.