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Struggling with making an osteoporosis treatment decision
Osteoporosis & Bone Health | Last Active: Jun 4 11:43pm | Replies (661)Comment receiving replies
I as recently diagnosed with osteoporosis brought on by prednisone for poly myalgia. This caused osteoporosis whereas before I had only osteopenia. Later found out I was misdiagnosed and now a rheumatologist is taking me slowly off the prednisone. I then had a consultation with an endocrinologist who specializes in osteoporosis who immediately said I needed to be on Evenity. I am not going on this drug for multiple reasons, one of which ( like your doctor said) the drug is relatively new. The FDA approved the drug but with the stipulation the company would provide two detailed updates of the drug at the five year mark. So the rationale for me is to only take a drug where the long term effects are known. Also, what concerns me is how quickly my endocrinologist recommended it to me. Maybe he is a paid consultant for this drug. Lastly, I have been doing research of reading many scientific journal articles about how to build up bone with changing my diet without using these potentially dangerous bone medications. This is what I have come up with so far.
1200 mg calcium citrate daily
One multi vitamin
200 mcg K2. This is key as this supplement directs the calcium to the right places in your body, for example depositing it to the bone and not the soft tissues like the arteries and blood vessels) ( atherosclerosis).
6,000 iu Vitamin D3
10 to 20 grams of collagen ( Type I and Type II only)
Increase protein to be included with every meal
600 mg Magnesium glutamate.
One final note, I also go to a holistic clinic and they are helping me tpstop bone thinning plus rebuild the bone without bone medications.
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I'm with windyshores on this. The vitamin/mineral regimen you list is fine but in all likelihood, it will not build your bone back. I so regret going the natural route and not starting medication earlier. I was absolutely determined to do it naturally and worked my tail off with targeted and consistent exercise and stellar nutrition. I ended up going from -2.8 to -3.2. Had I gone on Forteo right away, I would have built enough bone to be out of osteoporosis. After two years of trying to do it on my own, I ended up on Forteo anyway. I had no side effects and had enough gain to get me back almost to the levels I started this journey on, -2.9. Big, big regrets on not starting sooner.
Regarding vitamin D~ there have been some recent studies indicating that high vitamin D levels actually increase fall risk. There's a lot of disagreement between the medical and holistic communities on appropriate levels. Best to have your levels tested to find out if it is sufficient and then supplement as necessary. If you find that you need to raise your levels, each 1,000 IU will raise your level by approximately 10/ng/ml so it's somewhat easy to get to the level you are looking to achieve.