I am 65, multiple fractures, and worst Z score is 3.5 or so. I've done ALL the things(weight bearing excercise, no smoking, no alcohol x 3 years, good diet all my life), but have Hashimotos and presumed celiac. Pervasive family history of gastroesphageal cancer and upper GI problems, and I have non-specific gastritis WITHOUT reflux, although I don't take NSAIDS or other stomach irritants. I have been dairy-free on doctors orders x 5 years, gluten free on doctors orders x 8-9 years.
The new endocrinologist wants me on Forteo or Tymlos; I'm okay with using those drugs but not subsequently maintaining with Fosamax or similar because of the gastro problems. I also have family history of blood clots, and personal history of intolerance to hormonal interventions. HELP!