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Osteopenia in spine with low TBS (1.19). All else good
Osteoporosis & Bone Health | Last Active: 19 hours ago | Replies (2)Comment receiving replies
Have you had a FRAX score calculated? With your age, near-normal femoral neck T-score (and if no family or fracture history, no secondary causes), your FRAX is likely quite low even after adjusting for the TBS.
The medication that best targets low TBS is a PTH analog such as Forteo or Tymlos, but in reality, insurance approval might be a challenge given your T-score and no prior fracture. It might be worthwhile to see if approval is possible.
If I were in your shoes, I’d also consider HRT after completing the proper risk assessments to help prevent further bone loss. I’d do a bone turnover markers lab for a baseline. Rechecking your DXA and TBS in a year is a good idea. Please stay mindful with any exercises involving spinal flexion or twisting.
Replies to "Have you had a FRAX score calculated? With your age, near-normal femoral neck T-score (and if..."
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@mayblin Thank you for the reply. I'm going to see my gynecologist in January to discuss HRT. I still suffer with hot flashes, night sweats, anxiety, thinning hair and now this....I didn't want HRT in the past because the risks didn't outweigh the benefits for me, but now I'm thinking the risks are worth taking. I'll see what my doc says. My FRAX is quite low because it doesn't take into account my rather poor TBS scores. I have no family history of osteoporosis and I have never broken a bone (at least not that I'm aware of). I am thin and always have been. When I was running marathons I was even thinner! I'm very active and was shocked by my DEXA since I spent the summer building a stone wall and sawing up fallen trees. I've fallen and twisted my back in all sorts of awkward positions from skiing-could I have fractured my vertebrae without even feeling it? I agree that a PTH analog would probably be the best place to start if the HRT doesn't help. I really want to avoid any antireabsorbative medication at all costs. MONJ scares the daylights out of me! I'm told it's rare-maybe for those with great teeth-but I'm not one of those people!