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Struggling with making an osteoporosis treatment decision
Osteoporosis & Bone Health | Last Active: Jun 4 11:43pm | Replies (661)Comment receiving replies
Hi Windy Shores and thx for responding. I had been on alendronate for some years and it worked well enough until it didn’t. Last dexa was 1.9 neck, 0.8 left hip, 2.6 lumbar spine. No fractures other than a year ago on the top of my foot (went down some stairs in haste and missed the bottom steps, no cast or boot needed but boy did that hurt!) I believe Prolia does build bone, but indirectly, and one would be on it until kingdom come. I won’t hesitate to stop however in consult with my doc if I experience bad side effects. My doc didn’t even consider Forteo or Tymlos for me and he’s worked with all of them.
Replies to "Hi Windy Shores and thx for responding. I had been on alendronate for some years and..."
@chocoholic Your scores really are not bad which is why Tymlos or Forteo would not be recommended for you. Are your scores actually osteoporosis or are they still osteopenia?
It does seem that doctors are putting patients on meds as a way to prevent progression into osteoporosis. I see you have already been on Fosomax (alendronate) which seems to be the first drug recommended when the patient's osteoporosis isn't too bad. What you choose to go on, or if you go on any drug, is your decision. If you are comfortable with prolia and you are confident in your doctor I can see where it might be a good option for you. I really do not know much about prolia, just what I read here. My only experience is with Tymlos which I am on now.
I hope whatever you decide on will work out well for you.
JK
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Your scores aren't bad at all. I mean, your hip is great and your lumbar spine is borderline. That explains the choice. However, once you start Prolia you are in a pickle because once you start, you have to be on meds. If I were you (and I am not) I wouldn't even go on meds. Keith McCormick wrote an excellent book on holistic ways to handle osteoporosis at this level. I have had scores worse then yours for 14 years and if it weren't for cancer meds, I would still not be doing medications. Cancer meds caused fractures due to bone thinning but my scores are in the -4 range! I truly believe people are being medicated too early. Some are still doing Prolia for only 5 years, then they do Tymlos, which is only two years, then maybe back to Prolia or start Reclast for 5- when do you run out of time?!