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Treating Osteoporosis: What works for you?

Osteoporosis & Bone Health | Last Active: Nov 3, 2023 | Replies (1084)

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@smyth2022

I am a 85 year old woman with Osteoporosis. I was on Aromasin for 5 years after breast Cancer and went from Osteopenia to Osteoporosis. I had a yearly infusion of Reclast for five years, which not only stopped further bone loss, but slightly bettered my numbers. I have taken a brake from any meds for 5 years and my last Dexa scan showed osteoporosis. My doctor suggested Evivity, but I am reluctant because of the possible negative effects on cardio and higher risk of stroke. I am of normal weight and have only lost 1" of height. I am physically active (walking, dancing, gardening). I had a PA 3 years ago, of unknown cause, and am on a anti coagulant (Eliquis). My BP is controlled as is cholesterol. I have no known heart problems, kidneys and liver are fine. I am on A PPI for Acid reflux and had flare-ups of gastritis. I am leaning to take another infusion of Reclast as opposed to starting Evivity. My doctor also gave me the choice of Forteo, but I have ruled it out. She is waiting for me to make up my mind, having given me the pros and cons of all three medications. Since my remaining "lifespan" also needs to be considered, and the females in my family tend to life into their 90th, it is also a matter of quality of life. I have never had a broken bone, but I understand when it happens at my age, it may lead to death within a year. Any suggestions?

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Replies to "I am a 85 year old woman with Osteoporosis. I was on Aromasin for 5 years..."

Try to get off the PPI. Decreased acid in your stomach decreases absorption of calcium and other minerals, such as iron. Adjusting your diet? Taking a supplement which keeps acid from coming up? See a gastroenterologist.

I plan to start Evenity soon. Since my family has a history of heart issues my doctor suggested getting a Coronary Artery Calcium Score which is a CT scan to see if I would be susceptible to risk of stroke etc. My score came out to be the best possible. Have read that it would not be advisable to take Evenity if you have heart issues in the last year or two... As I understand it, Evenity doesn't cause issues in a healthy heart. Read up on what is available online, be factually equipped on whatever you do. Good luck!