Has anyone lowered their CTX score naturally?

I have improved my scores with exercise, Indapamide to prevent urinary excretion of calcium (causation of my osteoporosis) 2,000 iu of D3, and 50 mcg K2, plus adequate dietary intake. Not "natural" but none of the newer meds, either.

Not sure it’s possible to lower CTX naturally. Addressing underlying health and lifestyle issues might help. This might include nutrition and dietary improvement, getting enough calcium through your diet, beginning an exercise routine, avoiding sugar and alcohol, checking and correcting vitamin D levels,etc. This is what I’d consider a natural approach.

Adjacent to natural would be adding supplements like collagen, calcium, vitamins D and K. This would avoid the use of prescription medication.

Depending on your age, estrogen might help. Of course, this is not a natural approach as it would require a prescription from your doctor.

I guess it all depends on what you consider natural.

@m0h1pp Thank you for your input. I found out back in June that I was dumping my calcium due to a renal leak. My Endo put me back on hydrochlorothiazide. I felt better right away. I am also taking 2000 D3, I am also taking 45 mcg of K2 and my dietary intake could be better and I exercise. I don't want to go on the drugs but I may have to someday.

@oopsiedaisy Thank you for your input. I know you are saying. I do a lot of the things you mention but fell off my routine and am getting back on track now. I follow all the holistic bone practitioners and have been for a long time. I don't think a doctor would put me back on HRT as I was on it once for about eight years at the beginning of my menopause, went off at age 62, to my regret, (I am 72 now) as I am outside the 10 years since menopause rule.

Research shows that strontium acts as a dual-action agent that lowers bone resorption markers like CTX and increases bone formation markers such as bone-specific alkaline phosphatase (bALP). This balanced effect improves bone turnover, increases bone density, and improves trabecular microarchitecture, reducing fracture risk in postmenopausal osteoporosis.

Strontium is a unique bone intervention; it is a supplement but used at a medical level, 680mg daily.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7210412/).
https://clinmedjournals.org/articles/jrdt/journal-of-rheumatic-diseases-and-treatment-jrdt-3-050.php.

@mcallister1002 I also have hypercalciuria, idiopathic in nature. This was recently discovered after 12 years of osteopenia/osteoporosis. I done both the non-med and medicine approach but no one thought to check for this until I started seeing an endocrinologist last year.

I see my endocrinologist next week and suspect I’ll be put on a thiazide. I’m looking forward to seeing if it helps in addition to everything else I am doing.

Hope you can get back on track and get your CTX down. Mine was the high 300s just before I started Evenity last year.

@oopsiedaisy
What good news. Hypercalciuria, can be very treatable.
This is the reason the first step that we all should take is to see a good endocrinologist.

Ai google outlook after checking standard practices and research:
"Treating hypercalciuria can significantly improve and often reverse, or "resolve," related bone density loss (osteoporosis or osteopenia) by correcting the calcium imbalance that causes bone degradation. Using thiazide diuretics to reduce urinary calcium excretion often increases bone mineral density (BMD) and reduces fracture risk, particularly when combined with therapies like bisphosphonates."

@kathleen1314 Thank you for your input. I am still on the fence about taking Strontium. There is the controversy about it weighing more than calcium and therefore skews the DEXA scan. Also, women on the Algae Cal site have says they got kidney stones and wondered if it was caused by the Strontium. The Company doesn't think so. I have to be careful with my kidneys since I have been diagnosed with High Aldosterone. I will read the medical studies you attached, thank you.

@oopsiedaisy Thank goodness they finally found it. Some of these doctors are learning just like the rest of us. Every PCP I have had never used the bone marker tests. It was when I went to an Endocrinologist that it was discovered. I thought 300 range was within the guideline for not fracturing. What range are you aiming for? How are you doing on Evenity?

@mcallister1002 I was amazed at the number of tests my endocrinologist ran compared to my PCP and the rheumatologist I saw before the endo. It's clear that none of us are getting the best care from our doctors.

I had a fracture 2.5 years ago so that's why I was started on anabolic therapy. I did a bit of Tymlos and Forteo before the Evenity. The Evenity is going well - I have few side effects and what I do have are tolerable for a year.

I'm not aiming for any particular range for my CTX but I thought anything in the 300s was OK. I've read that it can vary widely for individuals.

I was more excited about the hypercalciuria finding as it was the first finding that indicated maybe why I had osteoporosis. Nothing else made any sense - very healthy, very active and fit, on bHRT, good diet, etc.