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About to start Prolia: What's your experience?
Osteoporosis & Bone Health | Last Active: Feb 27 10:57am | Replies (126)Comment receiving replies
I can't speak for others but, in the video, a case is cited of a male with osteoporosis (by BMD) measure) but good bone strength so is not taking drugs . I'd prefer to have both measures be good of course but, if I had to chose, I'd opt for good bone strength over good BMD. I mean the Miami condominium structures had to come down because of loss of integrity in the concrete strength. If density alone were the only variable, they could have patched 'sick' concrete to augment density. That's a metaphor not an exact analogy but makes sense to me.
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Insurance policies need to change so that patients can all start with bone-builders like Forteo, Tymlos or Evenity, which improve bone quality. In fact, I have read that Forteo and Tymlos improve bone quality even if there is no change in bone density. (Evenity does have some anti-resorptive properties so may not improve bone quality as much: I really don't know.)
However, if I had testing (which I don't) which showed bone quality was good but bone density was not, I would still want medication. I would think the fracture risk would still be high. Picture the bones like swiss cheese. Even if the solid parts are "quality" there are still big holes!
I just post here because I, like you and others, was afraid of osteoporosis drugs. Then suffered life-changing fractures. People don't realize what can happen in seconds to bring life-long pain and disability.
You posted about one man who didn't take drugs. Do we know what happened to him? I just hope people will consider meds when their DEXA scores show significant loss of bone density. I have not had any tests on bone quality but assume that without adequate density there would be collapse anyway.