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Forteo (teriparatide) followed by HRT: My Experience
Osteoporosis & Bone Health | Last Active: Jun 22 9:00pm | Replies (237)Comment receiving replies
I’ve been on teraparatide (Canadian version of Forteo called Osnuvo) for 22 months. I’m supposed to stop on April 10th and have a DEXA scan scheduled for April 2nd. I was supposed to see my endocrinologist on April 16th for a next step consult, so I was thinking of taking the drug one week longer to reduce the time in between my consult and stopping the drug. My endocrinologist has decided to go away now and can’t see me until April 30th, and I can’t get any advice from her office on whether I should stay on the drug for a month longer.
My endocrinologist is supposed to be the absolute best in Canada and is world renowned, but getting in to see her is frustrating. I’m wondering if I should start BHRT now and if that will help me hold on to my gains. What is his Menostar? I have minor calcification in one artery. Should that stop me from taking it?
I’m afraid of the Reclast injection too, but I think it’s the best option to lock in gains? I’m 67 years old, 19 years post-menopausal and very active, including aggressive downhill skiing. I started at -3.5 in spine and -2.7 in my hips. I’m hoping for -2.5 results 🤞
Any thoughts or advice?
Replies to "I’ve been on teraparatide (Canadian version of Forteo called Osnuvo) for 22 months. I’m supposed to..."
@lynn59
As far as starting BHRT, I had to take matters into my own hands. At the time I was wanting to start, all of the drs I saw said no. I didn't necessarily like that answer. I scheduled appts with a cardiologist for testing, which took 5 months to wait for an open appt since I wasn't referred by anyone. You may want to get some tests done for your own assurances and also get the cardiologists opinion. I had a stress test, cardio ultrasound and a cardiac CT. All were fine and my cardiac score was a 0. I did find out that I have a small, unconcerning heart murmur, but that was a non issue. So I took that as a go and then found a gynecologist who wasn't afraid to prescribe hormones for someone over 65 and 18 yrs post menopause. I'm 68 now. That took another 3 months! So what I wanted to do mid year 2024 took until Sep 2025 to start. Oh well......progress takes time!
Good luck and stay persistent!
@lynn59
Oh sorry,,, should have also mentioned that my estradiol is a patch not a pill. The form you use does make a difference as far as risk factors. Mine is not the Menostar brand, but I think Menostar is a patch as well. (?) The patch delivers directly to your bloodstream and does not require being processed through the digestive system, liver, etc. where any issues, if they happen are slightly increased because of this.
I'm sure you have increased nicely after 22 months of teriparitide. I feel the same about Reclast. To the point that I'm not going to do it. I'm also active, but your downhill skiing has to be a help to your density. You definitely have impact and push and pull on your bones. I lift weights and do a lot of weighted jumping. Hoping that is doing something.
Sorry if this is kind of a disjointed reply...trying to watch the olympics (snowboarding....talk about impact?!?!) and type!
Cheers!
@lynn59
You might ask copilot until you can speak with your doctor. Ask it to check all research and standard practices.
Artery calicification....might do some research on Vit k2; it has shown great in research trials for redirecting calcium and undoing calcification. There was even a book written about the phenomenon. Vitamin K2 And The Calcium Paradox.
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.057008.
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@lynn59
I also have some mild coronary artery calcification - my cac score is 38. I consulted with 2 cardiologists, and both reassured me that HRT is reasonably safe in my case, though they both set target goals for my LDL-c and HbA1c. Have you had a chance to speak with a cardiologist about your situation?
Since HRT takes a few months to reach its full antiresorptive effect, the ideal timing for starting it isn't entirely clear. I began right after finishing Forteo, while psmnonna overlapped hers with Tymlos. In the end, both approaches seem to have worked, based on our DXA results.
Please keep us posted on what you decide and how things progress. I'm rooting for you.