Treating Osteoporosis: What works for you?

Posted by heritage1955 @heritage1955, Apr 1, 2016

Hi. I'm new to the site and am interested in treating osteoperosis. I'm 39 yo and recently had a bone density that showed I'm at -2.4. So, going through the intial "I can't believe it" stuff. 🙂

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@echolsleslie

It’s true that acid meds can cause bone thinning issues. I have worked out 5 days a week since I was 20 and all of a sudden I developed issues. I got
Off the meds and found out I was allergic to gluten and reflux went away. Wish I had done it sooner. Go to a nutritionist and find out what’s causing your issues

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I have been tested for Gluten and have no issues. I already have changed my diet, but GERD prevails. Fortunately I do not have reflux as much as just digestive problems. Thanks for your reply!

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@cheriums

All the meds which decrease stomach acid are PPIs. Zantac, Pepcid, all are PPIs. There is a surgical option for improving the closure at the meeting of the esophagus and stomach. Sounds intimidating, but it's only a laparoscopic procedure, same day, home in the evening. Not great, but saves your bones while freeing you from GERD. See a gastroenterologist if you haven't already.

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thank you for your reply. Yes, I am aware of that procedure, but my gastro doc advised against it. I think I will be ok with more careful eating. I already have given up coffee! I will try the Pepcid and see how that works.

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@echolsleslie

So true when you stop taking Gerd meds it’s uncomfortable at first but it passes don’t stay on this med for long my doctor told me it wouldn’t bother me and now I am
Dealing with osteoporosis!

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thank you for your reply! I do not want my esophagus to erode with GERD, but I think I can do with Pepcid! Wish me luck!

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@jbcobb2380

You wait several hours after taking your calcium supplement which makes it doable. 680 mg. right before bedtime. Calcium in the morning and after evening meal. No strontium along with calcium.

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@jbcoobb2380 I do not understand why you responded with this post about timing of strontium relative to calcium. The issue with strontium is that it makes bone density look better than it is, on the DEX scan. (And strontium citrate may have the same possible cardiovascular effects as the ranelate form; that is only speculation since I have not seen studies.)

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@cheriums

All the meds which decrease stomach acid are PPIs. Zantac, Pepcid, all are PPIs. There is a surgical option for improving the closure at the meeting of the esophagus and stomach. Sounds intimidating, but it's only a laparoscopic procedure, same day, home in the evening. Not great, but saves your bones while freeing you from GERD. See a gastroenterologist if you haven't already.

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Zantac and Pepcid are not PPI's. Prilosec (omeprazole) is a PPI. Zantac and Pepcid are H2 blockers which also work to reduce acid, but are different from the proton pump inhibitors in the way they work.

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I am deciding between Tymlos and Evenity... The numbers are -3.4 in both spine and hips (although total hips are -3.0), but healthy otherwise. One doc recommends Tymlos, another doc says Evenity for its better effect on the hips. Concern with Evenity is a) it's very new, and b) its increased risk of cardiovascular events. Do doctors that prescribe Evenity also put people on blood pressure meds to relax blood vessels? Seems intuitive that the blood pressure meds could preempt heart attacks and strokes. Hoping to hear what justifications your doctors have given you for either drug and the side effect management. Thanks all in advance.

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I am currently on monthly Evenity shots and would like to hear the answer to this question. My weakest point because of osteoporosis is my spine. I'm 3 shots into my series of 12.

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@windyshores

Zantac and Pepcid are not PPI's. Prilosec (omeprazole) is a PPI. Zantac and Pepcid are H2 blockers which also work to reduce acid, but are different from the proton pump inhibitors in the way they work.

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Windy, you are correct. My brain was half asleep I think. Trying to take a shortcut perhaps. My point was, actually, to say (try to say?) that reducing stomach acid will have the same effect on mineral absorption however you do it. You can have your iron (Fe) level checked next time you have a blood draw. You don't want to take supplemental iron without knowing if you actually need it. There is such a thing as too much, and it will damage your liver.

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@tsc

L. Reuteri is a probiotic that is being studied for its relation to bone health. Do you know what form and dosage of zinc supports bone health? Thanks!

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No. The summary of the study I read didn't give details like doses. I get my supplements from Life Extension because I trust the quality. And they share sources of info. I just got their 50 mg Zinc Caps, which is zinc monomethionine and zinc citrate.

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@cheriums

Windy, you are correct. My brain was half asleep I think. Trying to take a shortcut perhaps. My point was, actually, to say (try to say?) that reducing stomach acid will have the same effect on mineral absorption however you do it. You can have your iron (Fe) level checked next time you have a blood draw. You don't want to take supplemental iron without knowing if you actually need it. There is such a thing as too much, and it will damage your liver.

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I am not sure who is concerned about iron/mineral absorption with acid-reducing meds, and hope the person sees your post.

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