← Return to 27M diagnosed with severe osteoporosis (Spine Z-score -4.8)

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Eren1998, the doctors aren't clear with you because the use of these medication won't be clear without knowing if you have a secondary cause of osteoporosis, which is likely given the rarity of of osteoporosis in men only 27 years of age.
If you had hyperparathyroidism, you would have the offending gland removed before taking teriparatide. If your testosterone is low, you'd be given supplemental testosterone. In either of these two situations you might be given a few years course of protective teriparatide which might not need to be followed by further osteoporosis medications.
Your bone loss seems to be primarily trabecular the softer lacy bone at the center of the discs and in the measured area of the femur.
While you do want to be careful with lifting and twisting, it doesn't help your bones to be physically inactive.
You should proceed with your studies and the office work, unless it involves lifting and bending.
It is pretty scary and I can see why you'd want to lock yourself in and not move at all.
Fractures in the spine are quite painful and they don't recover the way cortical bone can to the original shape.
You are getting very good care, sooner would have been best, but
Teriparatide is a great drug and can recover what you've lost.
I think your doctor will cover this without your asking but there are several suspects in your case. Be sure to get answers through the doctor but by the labs for testosterone, parathyroid hormone, thyroid hormone, and autoimmune disease. If your serum calcium is normal ( it usually is except with low D and parathyroid disorder) you might ask for an ionic calcium level--measuring the level of active calcium.
You should get those lab results quickly. When is your next appointment? Is your doctor an endocrinologist? They seem quite capable.
You might also ask about abaloparatide, which may have stronger effect than teriparatide.
Welcome to Connect. We are full of advice even if not insight.

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Replies to "Eren1998, the doctors aren't clear with you because the use of these medication won't be clear..."

@gently Eren, I agree with Gently- get the labs as quickly as possible. If you need to be referred to other specialists, ask the Dr to have his staff call on your behalf, or get an "urgent referral". I was going to have to wait 7 months for an appt with a rheumatologist, urgent referral got me in in only 6 weeks.
Don't despair, bone density is fixable. On your end, you need to become your own advocate. Educate yourself so you know the questions to ask. If you don't understand, ask.
You can get through this, and your youth is an asset! Go to the main osteoporosis thread here and you can learn a lot there. Consider an institution like the Mayo clinic where you can get testing done quickly over a couple days.
I am on abaloparatide (Tymlos) for 11 months now, with very strong results.