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How bad is a spine T-score of -4 ?

Osteoporosis & Bone Health | Last Active: Sep 6, 2023 | Replies (28)

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@gently

Sophie, both Forteo and Tymlos slow progression. They have the advantage of increasing bone mass more powerfully than the bisphosphonates. Current thinking is to take the bone building drugs first because bisphosphonates (Fosamax) blunt the effect of the anabolic drugs (Forteo, Tymlos). There is some buzz about combination therapy.
You might contact your physicians' offices and ask them to consider anabolic drugs. I would specify Forteo (windyshores might say Tymlos).
If you don't have your bone marker results, you might ask for them.
Our bones break down so that they can be rebuilt to protect against fracture according to our current activity. The new spicula (the slender bones called trabecular bone) in the center of the bone realigns itself (anisotrophy) so as to provide the greatest strength for the angle of impact. If you are jumping out of airplanes, or skipping rope it prepares the bone for that particular angle. The bisphosphonate stop that process by preserving old bone.
It may be that Fosamax is the best drug for you right now. You might want to see an endocrinologist who specializes in osteoporosis. But be assured that those powerful drugs are waiting for you whenever you need them.

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Replies to "Sophie, both Forteo and Tymlos slow progression. They have the advantage of increasing bone mass more..."

Thank you for your elaborate&helpful reply! I understand... Luckily I have an upcoming appointment with my endocrinologist the coming week. I will mention Forteo and see how he reacts... In the meantime, I'm keeping up with my exercise routine (walking every day religiously), eating healthy and minimizing smoking (this one is the hardest for me, I have to admit). I was thinking about supplements, but not sure if I should even start them at this point.