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Osteoporosis & Bone Health | Last Active: Apr 19 9:06am | Replies (6)
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@karyn23 osteoporosis is defined as -2,6 T score at any place measured.
We are also advised to avoid biotin and collagen several days before testing. Some sites advocate avoiding all B vitamins several days before the tests.
P1NP is more stable than CTX during 24 hours. I think it will be so interesting to see how much that has changed after surgery
If you decide to take medication for osteoporosis, I hope you keep saying no thanks to most of them. Take a close look at Forteo--my favorite.
Did you have more than one gland removed. How was your parathyroid issue diagnosed.
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@gently
I SO appreciate all of this information! Will make sure to follow those protocols prior to bloodwork.
"osteoporosis is defined as -2,6 T score at any place measured." My understanding is that the average of the spine values must be taken. That is, the guidelines will not diagnose as osteoporosis on the basis of an individual vertebra. From what I've read, there must be at least 2 "readable" vertebrae, of which the average is taken.
My serum Ca and parathyroid hormones had been out of range a long while. A more recent nuclear test (sorry, can't recall the name) was suspicious for an adenoma. I had two glands removed.
Thanks for the heads-up re Forteo! Holding out on meds. A UCLA endo and another at Columbia both advise waiting a year after surgery before pharm intervention. I believe it's to see if the surgery turns the osteo around. The UCLA guy goes as far as to say that there may be evidence of bisphosphonates cancelling out benefits, if take that first year. A UCSD endo says otherwise - that it's okay to take meds the first year, harm won't occur. I think it's safe to say that osteo secondary to hyperparathyroidism doesn't manifest the same as primary osteoporosis . . . and they need more studies to figure out what's going on.