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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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@sophie93

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.

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Replies to "Thank you for your elaborate&helpful reply! I understand... Luckily I have an upcoming appointment with my..."

Sophie, your bone markers are calling for a bisphosphonate while your Tscore pleads for and anabolic. You might look at the difference in mechanism of action. It is good to determine a preference before seeing a physician. Then when/if they offer you a choice', there isn't further delay in treatment. I'm pretty certain you'll be ready.
I'm partial to Forteo. I'm not happy with the slow way bisphonates work or the bone they save. I don't like Prolia or Evenity, though both are easier with fewer injection.
There are youtube videos cartooned to let you see the molecular actions of the drugs, usually produced by the drug company.
If you throw out any questions, we'll get a lively discussion going in preparation for you endo.