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Undecided choice of drugs for Osteoporosis
Osteoporosis & Bone Health | Last Active: Sep 8 8:12am | Replies (393)Comment receiving replies
I just posted on another chat about this but am looking for more info. I’m 56. I had a RTHR in 2020 and am fixen to do the left. Surgeon in 2020 said my hip or thigh bone was brittle amd he had to wrap wire around it to help hold it together with prosthetic. I have OA and OP. I have a good pcp but he’s seems to be lacking a bit when it comes to completely informing me as to my situation. As I don’t know numbers or medication choices or even supplements. I have had a bone density test
Done. I suppose to be
Key word there taking fosamax but have a problem with being regular and consistent with my meds. Assistant told me she thought I should be taking a vitamin D supplement with the fosamax which that's the first I’ve heard of it.
I read where Fosamax is hard on the thigh bones, and you can have breakage without injury that’s concerning to me. I also read where there’s a Lotta joint pain with it. That’s also concerning to me.
What should I do? Ask dr I suppose more specific questions and take notes cause I tend to not retain information to well. What med is right
For me what supplements etc?
Thank you in advance for any advice and god bless and keep
You
All healthy.
Replies to "I just posted on another chat about this but am looking for more info. I’m 56...."
Everyone has trouble remembering what the doctors say. Even the doctor doesn't remember what he said, so he writes it all down. That makes a record for you to access. If your md is at a hospital call the records department as say you want the "doctor's notes", and the dxa report and any labs you've had done. If you are at a private office call the receptionist and say the same thing.
You should keep all the records of you medical visits in one binder, not all over the place like I do.
You had right hip replacement? and the left is brittle. I can guess that you need a more proactive medication than fosamax. I would guess Tymlos or Forteo, but without your medical inormation my guessing could be dangerous.
Forteo helps fix any hardware you would have with a left hip replacement. It speeds healing of damaged bone and increases bone density in a more rapid way that fosamax. You could ask your PCP but you might want to see an endocrinologist who will have more eperience with osteoporosis and may even communicate in a more.
Get the notes the pcp is required to write. If you need help getting them let us know.
Thanks for that wonderful sign off.
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My physician recommended 1200 mg of calcium taken in 400-500 mg at a time for proper absorption. Also vitamin D 5,000 iu with vitamin K (I use Seeking Health brand) once a day with food. Also Magnesium 150 mg twice a day. Your doctor should be checking PNP and CTX (bone marker ) levels as well as PTH (parathyroid hormone) levels. Yes Fosamax can cause femur fractures.
I was on Fosamax for several years followed by Reclast for 5 years. Then a drug holiday until my Dexa in 2021 showed severe OP. I started Prolia. 1 year into Prolia I had a femur fracture. This winter I had 2 spontaneous and unusual fractures. Started Tymlos in June.
Wishing you all the best