1. < Osteoporosis & Bone Health
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Should I go on Envenity, Forteo, or wait?

Posted by lori098 @lori098, 6 days ago

I am 62 and have a -3.1 in my left hip. Other scores are osteoporosis, but not as low. Dr recommend recommends Envenity as a first choice, Forteo second. I don’t take any other medication but a year ago I was on fossamax for 4 years which didn’t help. I eat right and exercise and I’ve been doing that for 25 years. I am told I should try to build bone now before I get a fracture . Also, I am going to need more back surgery eventually and I am told I should try to build bone before the surgery, but I am very nervous about taking medication. Any thoughts?

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boneoptimist | @boneoptimist | 1 day ago
In reply to @gently "boneoptimist, your first set of bone markers show anabolic growth. The second set is more assuredly..." + (show)
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boneoptimist, your first set of bone markers show anabolic growth. The second set is more assuredly remodeled bone with higher numbers indicating accelerated growth. I find both remarkable (ok, enviable). I want mine in the second set model.
I could wish for a set of markers before your concentrated efforts.
You've blessed your bone.

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@gently , lol, I like "concentrated efforts". Trademark that term!

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boneoptimist | @boneoptimist | 1 day ago
In reply to @gently "boneoptimist, your first set of bone markers show anabolic growth. The second set is more assuredly..." + (show)
Profile picture for gently @gently

boneoptimist, your first set of bone markers show anabolic growth. The second set is more assuredly remodeled bone with higher numbers indicating accelerated growth. I find both remarkable (ok, enviable). I want mine in the second set model.
I could wish for a set of markers before your concentrated efforts.
You've blessed your bone.

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@gently and thank you!

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md79 | @md79 | 13 hours ago
In reply to @kfhoz "@boneoptimist Link from @gently did not fully work, but she may have meant this one: https://www.youtube.com/watch?v=7UJDxi95vBA" + (show)
Profile picture for kfhoz @kfhoz

@boneoptimist Link from @gently did not fully work, but she may have meant this one:

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@kfhoz I am on 2,5nd month on the anabolic drug Teriparatide/Forteo. My endocrinologist measured only P1NP ( I am not sure why not CTX as well), and it shows a great increase in P1NP. At the time of my vertebral fracture in February, my DEXA was in osteopenia, and my bone marker ratio was 182; that means my bones were probably in an anabolic (good) state, but my endocrinologist put me in the clinical diagnosis of "fragility fracture osteoporosis".

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