Improve bone density and strength without medication?
Any luck improving bone density and strength without medication? It seems the medications only mildly help ... and they only help some patients; some studies show the slight improvement in density does not mean quality bone was built. I'm not comfortable with moving forward with the treatments just because "that's what we give patients with osteoporosis". There seems to be no room for education or discussion, or research into actual results or other options.
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@windyshores, I believe you helped me understand that DEXA could look better and I used the formula to adjust for that. Thank you!
@plav @cpd54 I am just going through some of these discussion threads and was wondering if you ended up having to take meds or are you still trying to improve the natural way? I was recently diagnosed (tscore of-3.2 spine, -2.2 hips). FRAX score is excellent; less than 1% chance of hip fracture, 5% chance of osteoporotic fracture. I am 5’1”, 100 pounds, 64 YO. Very active.
No underlying causes for OP; just menopause and not getting enough calcium before.
So I decided not to do meds now, trying to improve or stay stable by using proper nutrition, supplements, strength training, etc. I will reassess in a year then I will decide my next step. Any advice from you both would be appreciated
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2 ReactionsIf you are going to do that, I would get the P1NP and CTX blood tests beforehand as a baseline. Then, check them in six months - no need to wait for a year. You can see if what you are doing is having an effect. If you see CTX going up, that's a sign that you may be getting worse.
Remember that it's important to have those tests first thing in the morning, fasting. CTX in particular can vary wildly during the day.
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2 ReactionsI did get my CTX and P1NP tested. CTX is 464. P1NP is 63. So I need to get my CTX to go down, correct?
Yes. CTX measures bone breakdown. You want the P1NP:CTX ratio to be better than it is now.
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2 Reactions@gently I am 75 years old and excellent health only take statins 5 mg two days a week which does the job and nothing else. I have osteoporosis at -2.6 in my spine osteopenia in my hips osteopenia in my neck and osteoporosis in my forearm I had last November and L2 an L4 fracture from a hard fall. I would like to do everything I can and not to take medication is this possible?
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2 Reactions@lindamaegirl I really like the idea of low-dose statins, 5x a week… hope that works with more meds ! My doc has me on low-dose levothyroxine, but has me split the pills 2x a week— may seek to reduce it more , due to OP. Anyway, it’s important to research all options and consult with a doc who listens, to help sort it out…fractures may affect future decisions…wish you the best…keep us informed !
@lindamaegirl -2.6 is barely osteoporosis. You could probably pay attention to nutrition and the proper weight-bearing exercise to avoid meds. I wouldn't do nothing at all, though, because it can get worse.
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2 Reactions@lindamaegirl, yes. It is entirely your decision.
Though it is very difficult to regain lost bone, there are measures you can take to reduce the risk. You can take collagen type 11, quercetin, tea, calcium+k2, make sure your D levels are adequate. Some people take strontium citrate. https://connect.mayoclinic.org/discussion/strontium-1/
You might eliminate the activities that could incur the hard fall that fractured L2 and 4. Do measured careful exercise, avoid lifting, especially lifting and twisting because L1,3 and 5 sustain vulnerability from the year old fractures that alter the balance of the entire spine.
Increasing muscle protects the spine as well as creating crosstalk that increases vertebral strength. But you have to be careful because your muscles can be stronger than your bones. LIfting weights can create peak pressure that your bones cannot sustain.
Some with low bone density never fracture, but many with osteopenia do fracture.
I wish you every luck whichever decision you make.
It is a risk that I wouldn't take, but my fear of fracture is great.
Windyshores had the best results with Tymlos. She cleverly manipulated the pen so she had control over the dosage. Her doctor was (probably still is) Michael Mannstadt 617-726-8720.
I think he still does virtual visits.
If you did decide on a medication, I would rather it would not be Reclast, at least yet. It is better to start with an anabolic like Forteo. I'd recommend Forteo except that windyshores had a negative reaction to it. If you couldn't tolerate Tymlos, like Forteo, it leaves you system rapidly, so your reaction would be limited in time to 24 hours max.
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2 Reactions@lindamaegirl
Igor Klibaov’s book Osteoporosis Reversal Secrets available on Amazon is a good place to start looking at how to manage and build without meds - osteoporosis meds are severe and shouldn’t be handed out as lightly as they are by docs now.
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