Newly diagnosed osteoporosis and have cried every day this week

Posted by rudysmom @rudysmom, Feb 13 11:15pm

I’m 60 years old and 2 years ago, was diagnosed with osteopenia. My Dr (Gynecologist) put me on Fosamax. I lasted 3 weeks, I had severe pain in my lower right back. At first I thought it was my sciatic nerve, but when I couldn’t roll over in bed, I realized that wasn’t the issue. Dr told me to stop taking the medication, to increase my calcium to 1200 to 1400 mg a day and get some exercise. I started taking a calcium supplement with vitamin D, increased my calcium, but didn’t increase my exercise enough, obviously.

When he called with my results I told him I had already read them and I have been crying all weekend. He asked why I was crying. I said because I feel like my fate has been handed to me, that I’m going to break a bone not heal, and I’m going to die. His response was oh. My mother died at the age of 84 from a broken hip and when I read those results, I had a flashback to her dying alone at night in a nursing home and that would be soon be me. He proceeded to talk to me about two different medications; Evista and Prolia. I had already joined the support group and have been reading many discussions on types of medication‘s. He never once mentioned that Prolia would be a lifelong commitment. He just gave me a brief overview of both of them, and asked me which one I wanted to start taking I told him I wanted to see an endocrinologist. He seem to be kind of offended. I don’t care. I was kind of offended at his lack of empathy and lack of knowledge on those 2 meds. I would love to be able to get my numbers back to at least osteopenia range without medication but I don’t think that’s realistic. The side effects of the meds also scare the heck out of me. I have called two different endocrinologist to make appointments, but waiting for doctor office to send the referrals. I want to have options.

A month ago I started taking a yoga class two times a week and also a Kettlebell class one day a week. I also received a weighted vest at Christmas and just started wearing it this week and use it during my breaks at work. Too bad I didn’t do this two years ago.

I don’t understand my results other than they’re bad. My T score of L1: -2.7, L2: -3.3, L3: -2.9, L4: -2.3, L1-L4: -2.7 I don’t understand the total number and it says look at the lowest score which is -3.3 so I guess I have severe osteoporosis it’s all so confusing. I just can’t get out of my head that life as I know is over. Sorry this was so long, have no one to talk to about this.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Profile picture for spreels2 @spreels2

Hi!!! You DO have someone to talk to about this. You are in a very good group of like-minded people that you can share with. I do have osteopenia, and am the youngest in my family. I also have a fear of not being able to take care of myself at the end, maybe having osteoporosis that will limit my movement and my very future in so many ways.

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@spreels2

Good time to move into research mode on current treatments for Osteoporosis if you move in that direction. You may have already done this. I'll cross my fingers that you remain in osteopenia.

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Profile picture for broken13 @broken13

Rudysmom, I just wanted you to know that my sister has been on Prolia for over 10 years now and has had excellent results with no side effects. I did not do well on Prolia myself however and had to quit after on shot.
I was diagnosed with severe osteoporosis at 51 with my lowest T-score of -4.3. Bisphosphonates did not agree with me so I quit and three years later my lumbar spine t-score was -4.8. I started fracturing and in 2016, started on Forteo which I did for two years. I believe it saved my life. I'm glad you asked to see an endocrinologist and will be able to look at options with them that will best fit for you. Do ask about sequencing of medications, as they are not all the same and an anabolic bone building medication first might be the best bet. Not everyone has the same side effects, so best not to judge by one persons experience .
Just don't wait too long like I did. Fractures are no fun!
I am 67 now and just finishing a booster round of Teriparatide (generic brand of Forteo). I enjoy Tia Chi and gardening and about to join a Line dancing beginners class. You got this. Its a big learning curve but doable!

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@broken13

Hi,
Just wondering what a “booster round” of Teriparatide is. I did reasonably well on Forteo about seven years ago and now my numbers are down again and I had a traumatic fracture. One suggestion from endo was retrial with Forteo (or its generic). I like the idea because I’ve taken it before and had no issues with it. I also know the black box warning and 2 year limit has been changed. I took it for two years, and my endo has no qualms in my taking it for another two years. Haven’t seen too many people that take a second round of Forteo. Evenity makes me a little nervous. So just curious what a booster with generic Forteo would be. On Forteo, the first year I had basically no change, and positive changes were in the the second year.

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Another great info source is
OsteoBoston. They have a YouTube channel.

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Sounds like you are in the same position I was. I called it a booster round because I took Forteo in 2016 for two years and it was recommended again now, as my numbers had slight decline, but are baseline low to start with. So I am currently doing the bio identical brand Teriparatide because it is cheaper, but basically the same thing (so I'm told). They only prescribed it for 18 months though. I did Raloxifene as maintenance after Forteo and will return to that. Did you do anything after Forteo the first time? I am very reluctant to do Evenity as it is made by Prolia and I had severe reaction to that. Also, from what I am reading, it does not hold its gains as well as Forteo.

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Profile picture for maomac @maomac

Please take some deep breaths. I volunteer with a woman in her 90’s who broke her hip last year. She took some time to heal and is back with us. A nursing home is not the inevitable.
I personally think the healthcare and drug industries are just instilling fear in us. I realize we all have different underlying issues and meds may be the right way to go for some. However, I think we are all getting put in the same boat unnecessarily.
I am 70 and was first diagnosed with osteopenia over 25 years ago when I had 2 young children. After a few years I started Fosamax for maybe 7 years. I quit the Fosamax when I became more aware of the side effects and felt I was given insufficient follow-up. I did move on to osteoporosis maybe 15 years ago. I took Raloxifene (from an Endocrinologist) for about 7 or 8 years with no obvious effect on my scans. (Several relocations in those years resulted in my having different providers - all wanted meds.) My current GP wants me on Evenity for a year and then move on to something else. But I do not want it. I have severe heart valve issues and have always had bad teeth. For me right now, the effects are scarier. I get my 1200 of calcium from various sources, take K2 w/Mk7, and have started Mg (for non bone issues) and heard here about prunes. I want to consider strontium. I walk and do light exercise and focus on balance. Over this time, I have moved my body and lived my life with no fear or restrictions (although now my heart restricts a little) and have had a few clumsy falls all without experiencing any fractures. (Yes I am grateful.) Are my bones strong even though not dense? I so appreciate all the comments here and the support of everyone. So good to know we are not alone. Thank you for listening.

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@maomac “ I personally think the healthcare and drug industries are just instilling fear in us. I realize we all have different underlying issues and meds may be the right way to go for some. However, I think we are all getting put in the same boat unnecessarily.”

Really well said. So many of us feel this exact same way. Thank you.🙏🏼

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Profile picture for broken13 @broken13

Rudysmom, I just wanted you to know that my sister has been on Prolia for over 10 years now and has had excellent results with no side effects. I did not do well on Prolia myself however and had to quit after on shot.
I was diagnosed with severe osteoporosis at 51 with my lowest T-score of -4.3. Bisphosphonates did not agree with me so I quit and three years later my lumbar spine t-score was -4.8. I started fracturing and in 2016, started on Forteo which I did for two years. I believe it saved my life. I'm glad you asked to see an endocrinologist and will be able to look at options with them that will best fit for you. Do ask about sequencing of medications, as they are not all the same and an anabolic bone building medication first might be the best bet. Not everyone has the same side effects, so best not to judge by one persons experience .
Just don't wait too long like I did. Fractures are no fun!
I am 67 now and just finishing a booster round of Teriparatide (generic brand of Forteo). I enjoy Tia Chi and gardening and about to join a Line dancing beginners class. You got this. Its a big learning curve but doable!

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@broken13 You mentioned you starting fracturing -- can you explain how the fractures came about? From a fall, lifting, or just daily activity? My spine score two years ago was -4.0 and I'm not taking any meds. Forteo and Tymlos are not an option because I have parathyroid issues. I don't want Evenity and read that bisphosphonates offer minimal benefit for fracture prevention. Thanks.

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Profile picture for daisy17 @daisy17

@broken13 You mentioned you starting fracturing -- can you explain how the fractures came about? From a fall, lifting, or just daily activity? My spine score two years ago was -4.0 and I'm not taking any meds. Forteo and Tymlos are not an option because I have parathyroid issues. I don't want Evenity and read that bisphosphonates offer minimal benefit for fracture prevention. Thanks.

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@daisy17

What are your objections to evenity?

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Profile picture for rudysmom @rudysmom

My femur readings are:
R Neck: -2.6
L Neck: -2.7
R Total: -1.8
L Total: -2.0

I don’t know what a TBS reading is? I’m assuming that’s not the Z score? There is a comment that says: bone mineral density is measured about the lumbar spine is 0.854. Then it says bone mineral density how about the right hip is 0.777 in the left hip is 0.757. Not positive that’s what I’m looking for. Again all so confusing.

I don’t think my mom was ever diagnosed. I was her medical proxy and filled out all her forms. I don’t ever recall stating she had osteoporosis.

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@rudysmom
Dear Rudysmom,
The most important thing to do, is educate yourself and build a team that supports you .
Please read Great Bones by Dr McCormick - it is an insightful and hopeful reference for osteo. At times it can be detailed but stick with it. You must began to understand the underlying factors that contribute to this disease and approach from a whole body health veiwpoint. I have 3 endos, a fabulous PCP, a bone consultat and, a bone PT ( and I went to a therapist for a while becasue I was so fearful) . Margaet MartinPT is online and has fabulous excerecises and prgrams for strenght. God guide you to what you need and send healing light. Create a vision for you life. Be hopeful.

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Profile picture for gravity3 @gravity3

@daisy17

What are your objections to evenity?

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@gravity3 Just that it's so new on the market. Plus it must be followed by a bisphosphonate, and I don't like the side effects associated with those drugs. Also, it's not covered by my insurance and is very expensive. I think I have a $5000 cap on out-of-pocket drugs, so that would be my yearly cost.

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Profile picture for dmshope @dmshope

@rudysmom
Dear Rudysmom,
The most important thing to do, is educate yourself and build a team that supports you .
Please read Great Bones by Dr McCormick - it is an insightful and hopeful reference for osteo. At times it can be detailed but stick with it. You must began to understand the underlying factors that contribute to this disease and approach from a whole body health veiwpoint. I have 3 endos, a fabulous PCP, a bone consultat and, a bone PT ( and I went to a therapist for a while becasue I was so fearful) . Margaet MartinPT is online and has fabulous excerecises and prgrams for strenght. God guide you to what you need and send healing light. Create a vision for you life. Be hopeful.

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@dmshope “Create a vision for your life.”

I really needed to hear this today. Thank you. 🙏🏼 The anxiety that can be so gripping with this condition can overwhelm. I know first-hand.

Lovely advice, truly. 💐

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