Osteopenia Supplements that work?

@mjp0512 I have three specialists: urologist, radiation oncologist, and surgical oncologist/hormone specialist. The third is the one responsible for follow-up after radiation. He is the one who ordered the bone density test, and I've sent him a request regarding supplement suggestions since my next appointment with him is in November.

Thanks, Jeff. See post above yours. Urinary Oncology is the dude that ordered the scan. Sorry, I was too slow editing my post.

Thanks, jime51. I was too slow in editing my post above. All set.

Many medications are associated with bone mineral loss as well as ADT. I was diagnosed with osteoporosis on a DEXA performed 18 months ago for just this reason and have been on monthly ibandronate ever since. I also have a history of Vitamin D deficiency and take 2000 IU Vitamin D3 as well as 600mg Caltrate/D daily. I received my first Lupron injection 2 weeks ago (having newly arrived on the PCa treatment scene after 4 years on AS). Currently scheduled by my PCP to have a repeat DEXA 12/2025 (marking 2 years on bisphosphonate therapy).

The risks of osteoporosis of the jaw with bisphosphonates as well as denosumab are well established, but in practice quite rare.

I do believe these approaches are the current standard of care for osteoporosis in the absence of documented bone metastases.

Hi, looking for info on what type of vitamins can help with improving or stopping osteoporosis from taking the medication we take for our prostate CA. Friend recommended increasing D3 to 5000, and taking Vit K. Would appreciate your feedback. Thanks....

For vitamin K, make sure you check with your doctor and/or pharmacists: it has interactions with many medications. But yes, together with calcium supplements, those are the ones I've heard. Resistance training (e.g. weights or exercise bands) is also critical for preserving and building bone density.

Actually they don’t recommend more than 2000 of D3, more is not really necessary. What is necessary is calcium and calcium citrate is better absorbed by your body. I had a pharmacist tell me do not take calcium carbonate, Calcium citrate is much better for you. A pharmacist calls me every six months to discuss what drugs I’m taking.

My oncologist recommended 1200 mg of calcium and I’m also taking 2,000 units of vitamin D per day.

@florida11 That's almost the same as me: 1,000 mg of calcium and 2,000 IU of vitamin D daily (it's even on my hospital e-chart). And a 20-minute session 3 days/week on the basement weight bench with moderate weights: my goal isn't to bulk up, but just to keep my bones and muscles strong and flexible.

I mean to ask whether vitamin K would be safe with my meds, but forgot during the last oncology appointment.

p.s. I also do 30 minutes of physio exercises every morning, but that's more because of my spinal injury than the ADT.

I have thought about whether I need supplementation, butI need to research vitamin K more. My understanding is there’s two different kinds, one of which comes from dark leafy vegetables. Mostly vegan (with periodic seafood), I get the dark leafy vegetables every day. I blend about a quart of veggies in water every morning including kale, spinach, (this is also where I add a cooked tomato in olive oil every morning), etc. But I am likely missing the other source of Vitamin K that most people get from animal consumption. So I’ll keep researching. Thanks for mentioning.