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Androgen deprivation therapy (ADT) for short or long-term?
Prostate Cancer | Last Active: Jul 21 1:10pm | Replies (40)Comment receiving replies
@jeffmarc
I am just learning my DEXA scan had a right neck femoral at -2.6, which the cutoff from osteopenia to osteoporosis is -2.5 and testosterone plays a part on your bones. My testosterone has never been tested and I have also been on omeprazole for 8 years which I knew had an impact. I guess it probably means more pills. Two years ago I only had two, my omeprazole and one for cholesterol. Then added after the blood clot after surgery to three. Just last week my cardiologist added another cholesterol one for four. If i have to add more now I get concerned about my nightly 🍷. Do you think getting the testosterone checked for the osteoporosis should be done?
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@wheel1
Low Testosterone is a direct cause of the bone deterioration that gives you osteoporosis. Getting it tested every three months, may be more than enough if on ADT. If you are on ADT Then using an estradiol patch can help restore some of your bone strength. It sounds like you’re not on anything that will reduce your testosterone so get it tested yearly maybe, since it doesn’t change a lot over time.
Switching to estradiol instead of ADT can actually reverse osteoporosis.
I’ve been on Omeprazole For at least 8 years, Don’t think it makes that big a difference because I’ve taken calcium daily for all that time. I’ve fallen a number of times and have not broken anything. I’m being much more careful about that now, The balance problems caused by the drugs we’re taking have to be offset by watchful walking.
I have been on a bone straighteners that whole time as well so that may be why I haven’t had any issues.