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Improve bone density and strength without medication?

Osteoporosis & Bone Health | Last Active: Jun 6 11:28am | Replies (177)
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@koleke

I just went to a PA who spends all of his time with osteoporosis patients. He reviewed my dexa scans, diet, supplements and spent over an hour with me talking about my 10 year risk factor and how to get my risk lowered. He was very informative and confident in his beliefs. He even did a letter grade scoring of most of the medications offered for bone building. He also gave me the information handouts from the Royal Osteoporosis Society from Great Britain. What I'm reading is Evenity gets an A++ for bone building quickly, but is usually for those who have already had a fracture. And I see lots of possible side effects. Any opinions? I am a healthy, active 70 year old woman with a -2.8 T-score.

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Replies to "I just went to a PA who spends all of his time with osteoporosis patients. He..."
gently | @gently | Dec 23, 2023

koleke,
at -2.8 I would want to take either Forteo or Tymlos. I would take an anabolic drug because I'm frightened of fracturing. Is your well informed PA recommending one or another?
I'm avoiding Evenity because of the cardiac black box. Some dismiss the signal citing a design flaw in the clinical trial, but I'm waiting for the real world trial results. Other adverse effects are miserable for some, though minor for others.
I chose Forteo because it is a lower dose than Tymlos with fairly equal effect. I've been taking Forteo for 9 months without any side effects.
I've been looking more closely at Tymlos. It develops a lower resorptive rate than Forteo and may have a longer period of time when it is building bone (called the anabolic window).
Either is a good choice.
Because we are active we have a different, I think higher, fracture risk.
Did your PA give them B or A?

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