@oopsiedaisy
you say: "One can never extrapolate study results with strontium ranelate to the over the counter supplement that some people are taking that includes strontium citrate."
Answer:
Well, yes and no.
The bone-building mechanism (the way the strontium atom itself interacts with bone cells) is considered the same for both. Whether it’s attached to ranelate or citrate, the strontium ion is what actually gets incorporated into the bone matrix.
What I believe that you are saying is that these points enumerated below may change between different formulations:
1. Bioavailability; Ranelate does seem to be more bioavailable than citrate; to me that is a plus
2. Clinical Proof: As in.... there are no large clinical studies on the supplement strontium
citrate; normal for supplements, but not for what I would wish.
3. The carrier and safety in that, for example Strontium Ranelate has side effects which seem
to be attributed to the specific drug formulation. These were not found in the strontium
citrate studies. But then large scale studies may be needed to find rare side effects.

I believe that I made all the above points in my previous replies and the links to posts which I provided.

Strontium Citrate is a supplement which is regulated by the FDA as a dietary supplement; it is also available from Canada where it is regulated more stringently as a Natural Health Product (NHP) which have to be licensed and reviewed for safety and quality.

You say strontium citrate studies are needed; I agree that we need more:
Here is what we seem to have so far:
1.3 cases studies from Sara Dehart, https://strontiumforbones.blogspot.com/2018/01/in-memory-of-sara-shackleford-dehart.html

2.Mots and Comb and a study comparison: https://strontiumforbones.blogspot.com/2017/02/mots-and-comb-study-comparison.html

3 Case studies: https://strontiumforbones.blogspot.com/2018/02/bmd-increases-by-varying-amounts-with.html

4.Moise studies: https://strontiumforbones.blogspot.com/2014/10/monitoring-bone-strontium-intake-in.html

5. Various formulations including strontium citrate, animal study: https://pmc.ncbi.nlm.nih.gov/articles/PMC11012416/

6.AlgaeCal studies: https://blog.algaecal.com/wp-content/uploads/Doctor-Info-Sheet-SB.pdf

7.AlgaeCal studies: https://www.algaecal.com/research/clinical-studies

8.Case studies: https://symbiosisonlinepublishing.com/nutritionalhealth-foodscience/nutritionalhealth-foodscience67.php

I am happy that you have found a bone regime that works for you. I celebrate your good news and would never downgrade or question what you are doing or question the research that went into your decisions or imply that you need to justify it with lists of research and information.

Indeed, I think that your decisions are about more than "you coming to your own conclusion". I think that you spent time and that you thought much about what was best for you and how to best accomplish your goal. I think that your "choice" was actually a reasoned and thoughtful decision based on good logic and information. I rejoice that it is working for you, and I appreciate you sharing it with all of us so we may learn from your experiences.

I do not think that you are " providing advice to others on how to treat their osteoporosis" or donning a mantle of qualification which you do not have. I think that you are kindly answering questions and sharing your life experiences.

I also do not think that you are "recommending medications and supplements outright" nor a certain style of training covered by a licensing model for which many pay, when you share your life choices. experiences and the reasons for which you have made those choices. I welcome your input and am thankful for the information.

Thank you.