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Young woman diagnosed with osteoporosis

Osteoporosis & Bone Health | Last Active: Aug 25 4:58pm | Replies (59)

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@sophie93

I was thinking, is it possible that I had low bone density to start with? Given the fact that I am very thin all my life, and I have a really small wrist size as well...

For example, I had a bad leg fracture in my teenage years, and the fall wasn't so hard to cause such a damage, now when I'm thinking about that.

I'm just spilling my thoughts here, I don't know if that makes sense. Is it possible that I have never reached a normal ''peak'' bone density?

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Replies to "I was thinking, is it possible that I had low bone density to start with? Given..."

yes, absolutely. I don't think I did either as I was not athletic as a child and didn't have a great diet. That coupled with menopause created the perfect storm. I had a great amount of bone loss in menopause.

Yes yes yes, could very well be impacting this..I just want to make this further point to all who have daughters and granddaughters alike to impress on them the importance in the youth and on into 20-30’s that is the time to really be really building their bones. That’s your reservoir for later, but all should continue with exercise ongoing after that.
With all the phone use , social media craze as doing more tech stuff even if it’s good stuff, and kids not participating in sports ( not to having pick up basketball games hardly any young people play tennis anymore , etc) as doing more tech stuff , even if it’s good tech stuff. -They are setting themselves up for issues down the road!! It’s not easy to motivate them if really attached to this stuff. Be diligent, be a nag…. Someday they will thank you, or maybe they won’t have to because the issues May not arise!!!

@sophie93 this is from an expert, dxaguru, on Inspire:

This is an area that was an issue 20 years ago, but not today. The categorical tricotomy of normal, osteopenia and osteoporosis based on T-score cut points is over 25 years old. At that time we had very limited data relating area density of bones and fractures. We did know that the lower the BMD by Dxa, all else being equal, there were more fractures than a similar group where BMD was higher.

We now have better more robust tools that adjust for differences inbone size to assess fracture risk. FRAX, for example uses patient height and to a lesser extent weight as surrogates for bone size. And it turns out, that shorter (smaller frame) people at the same BMD readings on Dxa will have higher fracture risk in FRAX, not lower risk because the machine is giving lower Dxa readings and T-scores.

A toothpick is the same real density as the birch log it was made from, even though it is much easier to break. But on a Dxa scanner, the toothpick always reads much lower in density, and thus is more reflective of the strength and resistance to breaking. It’s the same with bones. Men and women have the same density bones on CT scans that measure true density. But men have fewer fractures because their bones are generally larger. On Dxa larger bones read higher in area density and thus better reflect fracture risk.

FRAX removes the one size fits all osteoropsis cut point of -2.5 T-score and treatment decisions are based on risk of fracture versus risk of treatment side effects and fracture reduction.

Thus by FRAX a 75yr old woman with a T-score of -1.5 may be at higher risk for fracture than a 45 yr old woman with a T-score of -2.6. The former would benefit more from treatment than the latter.

T-scores should never be viewed like a pregnancy test. There is almost no difference in fracture risk between s -2.4 (only osteopenia) and -2.6 (“full blown osteoporosis” as one member called it).

I would love to see T-score alone diagnosis paradigm just go the way of the buggy whip. We now have tools that make your concerns about being on the diagnostic fence unwarranted.