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Femoral neck -2.8: Would you start treatment now?
Osteoporosis & Bone Health | Last Active: 18 hours ago | Replies (96)Comment receiving replies
@michaellavacot Thank you, that's really helpful. I hadn't really considered that the goal might be not only slowing further bone loss but also rebuilding some of the bone already lost. Part of my hesitation is wanting to make the best long-term decision rather than rushing into a treatment pathway without understanding the likely benefits and trade-offs. Can I ask whether HRT and anabolic treatment were offered because of your T-scores, fracture history, or some other risk factor? I'm still trying to understand where someone like me (57, one femoral neck at -2.8, the rest in the osteopenia range, no fractures, low FRAX) fits on the treatment spectrum.
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@agag - I did not have any breaks, osteoporosis was a chance finding for me. I was initially offered Reclast by my doctor which would have been a mistake given my poor T-Scores in the spine -3.2 and the femoral neck -2.9. The spine reacts better to medications than the femoral neck, which is very difficult to improve. I did some research to determine an osteoanabolic would be a better way to start treatment. If you start with a anti-resorptive like Reclast, Fosamax or Prolia, the osteoanabolics like Evenity, Tymlos and Forteo have a tougher time improving your bone structure and are less effective. So the order matters.
The good news for you is that the rest of your scan sites are not too bad and I would guess your odds of fracture are pretty low, especially if you don't fall on your hip.
After finding out I had osteoporosis and being a technical trainer, I put together a training for new patients and have been updating it for 3 years now. I do a stupid amount or research and I wanted to share what I've learned. If you have the time, it might be helpful for you.
Please note that I am not a licensed medical professional, and the information presented in the video is for general educational purposes only. The content is shared based on my research and understanding as a patient living with osteoporosis. It is essential to consult a qualified healthcare provider for personal medical advice.