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Is Osteoporosis reversible in post menopausal women?

Osteoporosis & Bone Health | Last Active: Jul 12, 2023 | Replies (92)
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@contentandwell

@callalloo One of the books I have read about Osteoporosis has said that we start losing bone at around age 40 so I think a baseline DEXA should be done then. My daughter is 40 now so I bought the book for her too and I hope she heeds the advice in it.

I agree about the current crop of drugs available for osteoporosis. I am in a quandary now over what I should take. I was on Tymlos and had excellent gains from it but now I need to go on something else to maintain those gains. Reclast was planned but my transplant team is concerned about that because my immunosuppressants are affecting my kidneys a bit and Reclast will exacerbate that. Reclast has its side effects the other options all seem worse to me. I cannot use an oral medication due to having Barrett's Esophagus. I saw my endocrinologist on Wednesday and she hoping my transplant team will approve a half dose of Reclast.

I don't know why men's doctors do not suggest DXAs but men's bones are generally more substantial than women's so men are less prone to osteoporosis. Maybe the number of men who have osteoporosis is not significant enough for doctors to suggest DXAs so they only suggest it if the man is small-boned or has fractured a bone.
JK

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Replies to "@callalloo One of the books I have read about Osteoporosis has said that we start losing..."
windyshores | @windyshores | Feb 5, 2023

@contentandwell as I have written, I am in the same situation with kidneys. I forget if I told you that my doc is going to start with 1/4 dose Reclast and either do it more frequently or if I tolerate it, do more at the same time. Hydration, premeds, and slow infusion.
I also have serious GERD (GFR 49-53.)
Please let me know what you end up doing!

I have 2 1/2 months left on Tymlos. Did you do 18 months or two years?

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fearfracture | @fearfracture | Feb 6, 2023

Peak bone is between 25-30. Generally, women experience a sharp increase in bone loss in the years around menopause (both peri menopause and post menopause). I told my niece that she should get a DEXA when she is 30 so she has a “true” baseline.
I went through early menopause (32). My doctors failed me because they waited until I was 50 to tell me to get a DEXA. Medical professionals are great at things “fixing” somethings like if you need an appendectomy but they stink at preventative medicine. Had anyone said you need a DEXA even 10 years ago, I wouldn’t be in the boat I’m in now, and I was following the pathetic advice they do give: walk, lift light weights, take calcium and vitamin D. If any of those things were enough, my DEXA have reported T-scores on the plus-side. It wasn’t until I’d been diagnosed that I even heard of vitamin K or that you have to lift heavy weights to increase BMD.

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