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I understand people are more autonomous today and make their own decisions about their health problems but osteoporosis is one of those conditions that is not monitored very often like cholesterol so you cannot know for sure if your lifestyle is helping it or not. One can experiment with supplements and nutrition and get their own cholesterol tests to see how their dietary changes helped their cholesterol. One can't do that with osteoporosis. It's 2 years to wait for the next Dexa scan and by then, your bones could be even more deteriorated.

In 2023 my Dexa scan showed mild osteoporosis so I went on a bisphosphonate and couldn't tolerate it after 4 months. I went off it and focused on nutrition, supplements and weights. This turned out to be the wrong decision for me. I wasted almost 2 years taking matters into my own hands rather than seeking professional recommendations. I should have seen Rheumatology after going off the bisphosphonate. Perhaps I would have been started on the next level of medication. I regret that I didn't look into it. I was complacent. Now I have severe osteoporosis.

Everyone is different. My friend has only mild osteoporosis and is focused on nutrition, supplements and exercise and it sounds like her tests have been stable. That wasn't the case for me.

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Replies to "I understand people are more autonomous today and make their own decisions about their health problems..."

@followheart87 There are options to waiting 2 years between DEXA scans to see how your bones are progressing. I am getting self-pay Bone Turnover Marker (BTM) tests tomorrow. Last January both my husband and I got REMS tests. You can see other discussions of REMS on this site.

In the below video, Dr. Doug breaks down a tool for monitoring bone health beyond a DEXA scan: bone turnover markers. Through drug trials and diet research, he demonstrates how these markers predict outcomes long before imaging changes.

Stop Waiting on Your DEXA: How to Track Bone Health in Real Time


I am not saying that you should change your approach, but I want to be sure people know the options!

@followheart87 You might be able to get doctor order for another bone scan after only 1 year. I am going to ask for that. I will look into Bone Turnover Marker (BTM) tests REMS tests. Think I had one once before. Thank you for the reminder.