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DEXA scores: mild vs. severe

Osteoporosis & Bone Health | Last Active: Jan 10 2:13am | Replies (54)

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@gently

prettyflower, fosamax was a decent choice at 55. That is when most of us start to lose the most estrogen and consequently the most bone. Even though your dxa shows -2.7, the fosamax probably saved you from greater bone loss.
I don't think of Prolia as a good choice. Partly because of the storied history of the drug, but mainly because it preserves older bone, essentially the same working mechanism as Fosamax, thought with different mechanism of action.
It isn't that -2.7 is severe osteoporosis. But consider that the bone you have is bisphosphonate-bone. Bone that has been preserved with all its little cracks and fissures that the the medication has prevented from self-repair.
You are living in a time when there are amazing drugs available for protection from fracture. And your primary has both made you aware and given you interum protection.
You could get a frax score, have another dexa, double up on your supplements, take alternate supplements, place an estrodial patch, and exercise.
At your level I'd "suggest" Forteo. I'd be happy if an overeager dxa (dxa over estimates bone loss in small bones) placed me in a position where I could get a prescription for this medication. I'd jump sooner than later because those vertebral fractures, unlike any other fracture, never heal into their original position.
Some people never fracture.
My order of choice would be Forteo, Tymlos, Evenity.
best wishes

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Replies to "prettyflower, fosamax was a decent choice at 55. That is when most of us start to..."

Hi,
Windyshores, you may have answered this before. I've used forteo, alendronate and 3 months on evenity
My endocrinologist wants me to follow with prolia....... terrifying to me. I am 75. What would you follow with if it were you? Thanks

Can I ask why you prefer Forteo over the others? My doctors are recommending Prolia or Reclast for my -3.1 spine and I’m leaning towards the bone building drugs, even though they say I may never need them. My thoughts are why not build better quality bone while I’m still in my mid 60s and very active. I’ve had two endocrinologists recommend Evenity if I decide to go that route, but for some reason I’m a little reticent to go with it as it is the newest.

I am 78 year old man with a dexa score of -2.7 was -2.4 for 12 years. Hip and back are -2.0 or better. Drs want me to take a once a year 15 minute infusion called reclast because I have bad acid reflux. I am afraid of the side effects. Any advise.