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Has anyone treated their osteoporosis without drugs?
Osteoporosis & Bone Health | Last Active: 9 minutes ago | Replies (123)Comment receiving replies
@gently I was diagnosed two years ago osteopenia of the hip and osteoporosis of the spine -2.5. I have seen three doctors who have prescribed Fosomax and Reclast neither of which I have taken yet. I am doing everything I can to maintain or improve my bone density without medication. My question is I have not had a CTX or P1NP only a Dexa scan. I’ve asked the doctor about the tests and he pretty much said no. Should I inquire again, would it be helpful in determining whether medication is needed? I lift weights, run, jump, etc. My bone quality should be good. Thank you for your help!
Replies to "@gently I was diagnosed two years ago osteopenia of the hip and osteoporosis of the spine..."
@dlcarlier
you could ask again and explain that it would help you know that the medication is working. For some (few) the medications are ineffective. It would be maddening to find out after bravely tolerating side effects that the medication has kept you vulnerable for another year or two.
Was you dexa two years ago? reading -2.5. It would be good to have a current dexa. It might indicate that you would be better served by an anabolic medication.
The bone markers can be to determine if a medication is effective. With antiresorptives you'd want a CTX before use and after a month to two months of use.
With anabolics P1NP is used to determine effectiveness.
"According to the IOF-ECTS guidelines, if the magnitude of decline in BTMs is greater than the LSC, then treatment should be continued; if the decrease is smaller, clinicians should reassess possible problems with treatment, including adherence.21,22"
https://www.ccjm.org/content/90/1/26
You doctor might have to fill out a medical necessity form to get your insurance to pay for the test. The bone marker tests aren't used for decisions initiating a drug. The doctor may be swayed if you ask for markers to measure effectiveness.
A repeat dexa would give you the best idea if two years of everything you are doing is improving your bones. Our bones have ways of disintegrating that aren't controlled by even the best exercise and the best diet.
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@dlcarlier
Do you have qualms about letting her/him know that is important to you that you have these markers? If it is a problem you can pay out of pocket at a private lab.