Has anyone seen an Endocrinologist for osteoporosis?

@susan0489
Hi Susan. How old are you ? Have you or any immediate family members had cancer ? For high risk patients such as those there is another option-Selective Estrogen Receptor Modulators . I know little about it, but will be seeing an endo next week and will be a discussion topic. I hope to be very prepared with a list if time is of the essence which is so common at a physicians office these days. Best of luck to you in your journey to optimal health !

I did see an endo for just that. She immediately jumped to Prolia or Reclast. I have Hashimotos and she is keeping track of that. I was hoping she would offer BHRT, but told me she did not prescribe that for osteoporosis. I should have told her I was having terrible hot flashes. For now, I think I will ditch the endo. She offered me no other options. Your PCP can also check your thyroid hormone levels. However, a different endo that you might see, possibly will have other options for you. Would not hurt to try, if only to check out thyroid issues.

@blueberre Go to a functional medicine doctor for HRT.

@ or a GYN.

Hi ! I am seeing an endocrinologist for the 1st time next week. I have my dexa scans ready to go with a list of questions , a list of conditions that may also be affecting my low T-score of -3.2 , and my family history of no outstanding adverse bone history. I have had no breaks, but my weight loss from 135 ( steady for years) to as low as 119, my rising blood pressure, bone pain , gastro issues, joint inflammation and Hashimotos with erratic TSH levels are all suggestive of an underlying issue/s. I am 68, active with walking, the gym and grandchildren. My oldest sister age 87 now was an avid hiker, she was put on Fosamax with negative side-effects, got off of it and is still out there hiking and going to the gym. Just be very prepared, take notes to help you have a concise conversation, latest bloodwork/scans and if you don't feel heard , seek another opinion until you do. Good luck !! Hope you will let us know how it went and I will do the same .

Hi ! I am seeing an endocrinologist for the 1st time next week. I have my dexa scans ready to go with a list of questions , a list of conditions that may also be affecting my low T-score of -3.2 , and my family history of no outstanding adverse bone history. I have had no breaks, but my weight loss from 135 ( steady for years) to as low as 119, my rising blood pressure, bone pain , gastro issues, joint inflammation and Hashimotos with erratic TSH levels are all suggestive of an underlying issue/s. I am 68, active with walking, the gym and grandchildren. My oldest sister age 87 now was an avid hiker, she was put on Fosamax with negative side-effects, got off of it and is still out there hiking and going to the gym. Just be very prepared, take notes to help you have a concise conversation, latest bloodwork/scans and if you don't feel heard , seek another opinion until you do. Good luck !! Hope you will let us know how it went and I will do the same .

I was seeing an endocrinologist - suggested by my GP - for osteoporosis. She recommended Reclast, as I had reactions to all other (oral) meds prescribed by my GP. However, after the 1st infusion, I had a severe reaction approximately 12 - 14 hours after the infusion. High fever, chills, sweating, nausea (dry heaves), dizziness, and severe headache. I reported this - She said my reaction was highly unusual. I felt so awful, I refused future infusions. Honestly felt as if I had been poisoned. Now I am working on dietary changes - following a low lectin diet - and significant increase in weight workouts. Slight improvement in my bone density after my last exam. Next one this summer. I will say that I had 2 bicycle 'cradhes'. Both times fell on my femoral neck (huge bruising/hematoma), but no fractures. My dexa score is lowest in this area. So I belive my 'bone strength' might be much better than my bone 'density'. I hope your endocrinologist recommends working on gut bacteria remediation. Much of what I read indicates a possible absorption issue when the 'diet' is nutritionally sound.

@sfe431 I see my endocrinologist in about 3 weeks. I'm very interested in what he prescribes to offset the ultimate onset of osteoporosis coming my way. I have good DEXA and FRAX scores but then again I had a triple fracture of my pelvis in early 2024, (slip off a ladder where the step was only 12 inches off the ground) a fractured vertebrae sometime in my much younger years, a left hip replacement in 2016, and an untreated right hip that is bone on bone that they will not operate on since it gives me no pain. I'm a 78-year-old male, 5'10" and 175 lbs. Former height was 6 foot tall. I'm currently recovering from left knee arthroscopic surgery performed in April 2025. That recovery is going very slowly. For supplements, I'm thinking the endocrinologist should show some interest in me taking some special type of calcium, strontium, D-3, boron, selenium. maybe more. I'm sure I have some osteoporosis in my back as well, as I have 3 or 4 bulging disks, two pairs of vertebrae bone on bone, and slight scoliosis right side. That's a sad story.