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prolia vs forteo

Osteoporosis & Bone Health | Last Active: Dec 28, 2023 | Replies (7)

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@donnac2360

Apparently they have changed the way they diagnose Osteoporosis. I had a wrist fracture and an elbow fracture from a fall post-menopause and I fit the physical criteria, small, caucasian etc. Currently, I don’t take any medication so reluctant to start but I suppose the pros of taking outweigh the risks.

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Replies to "Apparently they have changed the way they diagnose Osteoporosis. I had a wrist fracture and an..."

Were your falls considered traumatic @donnac2360? You don't have to reveal but curious what your DEXA scores were. It is true that some docs prescribe too early. If your fall was traumatic and DEXA isn't too bad, maybe do a consultation with Dr. Keith McCormick for an alternative viewpoint. He is good with "whole body" approaches but also suggests meds when needed.

If you do need meds, it is now suggested to do a bone builder first- Tymlos, Forteo or Evenity- and then "lock in" with a bisphosphonate, preferably Reclast. Insurance should cover you because of the fractures.

I had fractures from a fall and did not go on med for 14 years. (I did actually try.) I finally had osteoporotic fractures from an extremely unwise movement. My point is you probably have time to think about this and explore options. Definitely get other opinions!