Has anyone improved bone density without meds?

Posted by naomid @naomid, Mar 21, 2023

I have a very problematic dental history and will continue to need additional root canals and implants. I also have Sjogren's Syndrome and want to avoid any drugs that cause rheumatic symptoms. Other issues in my health history make all of the meds risky for me. That said, I work out almost daily, lift weights, maintain a healthy diet, take all the recommended supplements, and get most of my calcium nutritionally. My endocrinologist wants me to take an infusion/injectable drug. I dread the side-effects, yet I'm afraid of fracturing, which hasn't happened over the many years I have had osteoporosis. That said, my numbers are getting worse (-3.2 spine, -3.1 hip). I need to do something more than I've been doing, and am at a loss. I need hope and solutions I can be at peace with. Thanks for any comments or suggestions!

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@naomid

@resort, I'm sorry you're going through all this, but fear not, you will probably have a wonderful life ahead and many good things to look forward to even though it's so hard to absorb the things that are happening now. I speak from my own experience because I was diagnosed with breast cancer at age 49 and now 25 years later I have pretty bad osteoporosis. That said, I have led a beautiful life since that diagnosis and there's more to look forward to now. These diagnoses are not the end of a happy life. It just takes a while to figure out how to get through the things we face. In terms of strontium, I tried it many years ago and found that my bone density scores went up when on it, then plummeted when I stopped taking it. The research on it is still inconclusive. Here's a link with more information. https://americanbonehealth.org/medications-bone-health/why-strontium-is-not-advised-for-bone-health/
There are many other things you can take, aside from medications that can help your bones. Some of them are posted in this stream. Good luck to you and don't give up hope!

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Thank you so much for your kind and encouraging words!

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@teb

After Forteo, I went on HRT to maintain the gain. After reviewing the options carefully, I chose HRT as the most "natural" option; something that my body recognizes and knows what to do with. I was 63 at the time and within the 10 year window and chose the very lowest dose of transdermal to be as safe as I possibly could be. Attitudes towards using HRT are beginning to shift and for some individuals, it is a good option to help maintain bone. It's definitely not for everyone but I felt it was best for me. Because I have autoimmune issues, my doctor agreed to prescribe it. I have been mostly holding steady with some decent gain in my hip which I think is also due to my exercise regimen which includes walking 4 miles a day, pressing 20 lb weights, squats with weights, core, pilates, dance, exercise bands and nutrition along with the meds. (just a note...I did all of that exercise and good nutrition without the meds and failed miserably to improve bones so it's the combination that's working) It is darn hard work!! It's a constant in my mind and life but it's just what we have to do to manage this condition.
Thank you for your kind thoughts. Wishing you well. Keep us posted.

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I am glad you found something that is working. Your daily exercise regimen is just amazing.Have a great day.

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@artscaping

Hi there,
I actually just started the Monday morning routine after two years of Tymlos which returned some of my scan numbers to Osteopenia and 1 year of Prolia which was quite problematic. The tablet I take now is alendronate.

Good luck to all of us as we strive to make the best decisions.
Chris

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I’m planning to ask my physician about Tymlos since my recent DEXA results had worsened by almost 10% on hip area. It’s not horrible at -2.2 but the 10% decease is definitely concerning. Had to stop Prolia which seemed to be helping as developed jawbone necrosis after taking for many years. I haven’t heard of the oral medication, what class of drug is it as cannot take bisphosphonates either due to both an allergic reaction & they also have the jawbone necrosis side effect

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@omgirl

I’m planning to ask my physician about Tymlos since my recent DEXA results had worsened by almost 10% on hip area. It’s not horrible at -2.2 but the 10% decease is definitely concerning. Had to stop Prolia which seemed to be helping as developed jawbone necrosis after taking for many years. I haven’t heard of the oral medication, what class of drug is it as cannot take bisphosphonates either due to both an allergic reaction & they also have the jawbone necrosis side effect

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@omgirl like me you are kind of stuck with issues taking bisphosphonates (and my doc doesn't use Prolia). A score of -2.2 is not yet osteoporosis. I hope insurance takes into account your previous experience with Prolia and issues with bisphosphonates. I have to say that in my experience, since 2001, the scores do jump around a bit and I look for trends, but 10% might be significant. Do you see an endocrinologist?

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@omgirl

I’m planning to ask my physician about Tymlos since my recent DEXA results had worsened by almost 10% on hip area. It’s not horrible at -2.2 but the 10% decease is definitely concerning. Had to stop Prolia which seemed to be helping as developed jawbone necrosis after taking for many years. I haven’t heard of the oral medication, what class of drug is it as cannot take bisphosphonates either due to both an allergic reaction & they also have the jawbone necrosis side effect

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This is my number one worry about long term osteoporosis meds..how was your jawbone necrosis diagnosed? How would you even know you had that?

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@windyshores

@omgirl like me you are kind of stuck with issues taking bisphosphonates (and my doc doesn't use Prolia). A score of -2.2 is not yet osteoporosis. I hope insurance takes into account your previous experience with Prolia and issues with bisphosphonates. I have to say that in my experience, since 2001, the scores do jump around a bit and I look for trends, but 10% might be significant. Do you see an endocrinologist?

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I just got my latest DEXA to see if things were getting worse. My last one before this was last September. This one, on the same machine showed my lumbar spine to be -2.9, my left hip to be -2.1 and my right hip to be -1.9. Each of these is exactly one point lower than the last time and it says this is not statistically significant, which immediately made me wonder what is considered to be statistically significant. We're getting ready to move to Asheville, NC from Baltimore, so by definition, a year from now, it will be a different DEXA machine. I am due for a phone consultation with Dr. McCormick on July 19th. Hopefully after that and another consultation with a different endocrinologist, I'll be ready to make a decision about medication. I've heard really good things about AlgaeCal, so I'll be interested in his opinion about that. In the meantime, my almost constant ache in my lower back and left hip reminds me everyday that I have both erosive osteoarthritis and osteopenia/osteoporosis. It makes me more fearful of lifting heavy things or doing simply moving than I have ever been. And here we are in the midst of packing. Ugh!!

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@kirstenlheld

I just got my latest DEXA to see if things were getting worse. My last one before this was last September. This one, on the same machine showed my lumbar spine to be -2.9, my left hip to be -2.1 and my right hip to be -1.9. Each of these is exactly one point lower than the last time and it says this is not statistically significant, which immediately made me wonder what is considered to be statistically significant. We're getting ready to move to Asheville, NC from Baltimore, so by definition, a year from now, it will be a different DEXA machine. I am due for a phone consultation with Dr. McCormick on July 19th. Hopefully after that and another consultation with a different endocrinologist, I'll be ready to make a decision about medication. I've heard really good things about AlgaeCal, so I'll be interested in his opinion about that. In the meantime, my almost constant ache in my lower back and left hip reminds me everyday that I have both erosive osteoarthritis and osteopenia/osteoporosis. It makes me more fearful of lifting heavy things or doing simply moving than I have ever been. And here we are in the midst of packing. Ugh!!

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@kirstenlheld I wish the whole medical/insurance system were different. McCormick and my doc both said Tymlos is most effective for the first 6 months and it is really good for spine in particular. Wouldn't it be great if you could do that for 6 months and have insurance cover it? (They do have a patient assistance program). Otherwise your hips are pretty good, though osteoarthritis can bump those scores up, I have been told.

If you don't have fractures your bone situation is not likely to be causing any of that pain but I get that it reminds you that you are fragile. I took care of my 95 year old mother, who had dementia. When I took her to the doctor I had to ask her to lift her walker into the car!

The fact remains that at some point we are going to have to lock in gains with something. That is my current dilemma. McCormick agrees on bisphosphonates but I am afraid orals are intolerable with GERD and Reclast with kidney issues.

Bone on bone is no fun. Is your hip considered strong enough for a replacement? I am curious if that is being discussed.

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@tkdesign

This is my number one worry about long term osteoporosis meds..how was your jawbone necrosis diagnosed? How would you even know you had that?

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@tkdesign just to mention that Tymlos and Forteo don't cause jaw necrosis. You probably know that but for others reading posts. I was told that by my doc but my dentist was not aware. I have had zero dental issues on Tymlos.

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@windyshores

@tkdesign just to mention that Tymlos and Forteo don't cause jaw necrosis. You probably know that but for others reading posts. I was told that by my doc but my dentist was not aware. I have had zero dental issues on Tymlos.

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When I last had X-rays on my hips in 2020, I was told there was no arthritis in them at that time, which frankly surprised me. I had X-rays done of my spine last fall after getting the DEXA showing it had progressed to osteoporosis, and at that time, there was no sign of fracture. I think, and "think" being the crucial term, that the discomfort is arthritis related or muscular from one leg being slightly longer than the other, but without having another X-ray, who knows. If it continues I'll have to find out since there are some days when the ache in that hip becomes real pain. One thing I've learned from other people who had hip replacements done is that they wish they'd had it done sooner than they did. So far, it's not keeping me from doing certain workouts or otherwise limiting my movements, but if it starts to, then I won't wait.

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@kirstenlheld

I just got my latest DEXA to see if things were getting worse. My last one before this was last September. This one, on the same machine showed my lumbar spine to be -2.9, my left hip to be -2.1 and my right hip to be -1.9. Each of these is exactly one point lower than the last time and it says this is not statistically significant, which immediately made me wonder what is considered to be statistically significant. We're getting ready to move to Asheville, NC from Baltimore, so by definition, a year from now, it will be a different DEXA machine. I am due for a phone consultation with Dr. McCormick on July 19th. Hopefully after that and another consultation with a different endocrinologist, I'll be ready to make a decision about medication. I've heard really good things about AlgaeCal, so I'll be interested in his opinion about that. In the meantime, my almost constant ache in my lower back and left hip reminds me everyday that I have both erosive osteoarthritis and osteopenia/osteoporosis. It makes me more fearful of lifting heavy things or doing simply moving than I have ever been. And here we are in the midst of packing. Ugh!!

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When you research calcium supplements, check out New Chapter Bone Strength Organic Red Marine Algae Calcium, highly rated on Amazon. It has D3, K1, K2, Magnesium and trace minerals. A 40-day supply from Amazon is about $32. For AlgaeCal, a 30 day supply costs $53.

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