1. < Osteoporosis & Bone Health

DEXA scores: mild vs. severe

Posted by prettyflower @prettyflower, Nov 26, 2023

My primary doctor started me on Fosamax when my DEXA showed -2.5 in the spine. After four years the DEXA was -2.7. A specialist then said to move on to Prolia, which I have delayed a bit. Is my DEXA "severe" enough to warrant that jump? What other meds would some of you suggest at this level? I am 59 and have never had a fracture, that I know of. Thank you.

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gently | @gently | Jan 9 1:48am
In reply to @felicitypevancy "susanjane asked for more information about this recommendation about administering Reclast. I agree, it would be..." + (show)
@felicitypevancy

susanjane asked for more information about this recommendation about administering Reclast. I agree, it would be good to have more specifics about this provider, his rationale and any publications related to this acute side effect.
I also wonder if this provider also has a protocol for treating 'intractable pain' that has been documented by Novaris and the government (FDA I think) as a rare side effect.

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felicity, I'll ask him.

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gravity3 | @gravity3 | Jan 9 6:15am
In reply to @susanjane77 "Interesting information. I have had Reclast infusions with no side effects unless you call a headache..." + (show)
@susanjane77

Interesting information. I have had Reclast infusions with no side effects unless you call a headache one.

Reading your instructions to inform the infusion nurse…I have to say they would either laugh at me or kick me out.

Seriously, I would like to know where you obtained this information and the author. Otherwise, it is useless for me or basically anyone to obtain an infusion with these instructions in hand. Thanks!

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I am not sure I understand. Are you saying the nurse would not follow that protocol if you said this is what I want. Or that you need studies to understand the rationale for yourself and/or nurse.

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1 reply
susanjane77 | @susanjane77 | Jan 9 10:33pm
In reply to @gravity3 "I am not sure I understand. Are you saying the nurse would not follow that protocol..." + (show)
@gravity3

I am not sure I understand. Are you saying the nurse would not follow that protocol if you said this is what I want. Or that you need studies to understand the rationale for yourself and/or nurse.

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I am not sure of your Reclast protocol. I don’t tell the nurse anything! I go in and get my infusion…there is no protocol.
I don’t need studies to understand ..what rationale are you mentioning? I am quite confused. For me, my infusion…very simple…I go into the office, get my infusion and leave. There are no instructions to inform the nurse. She knows what to do and gets instructions from my doctor…not me.

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1 reply
gravity3 | @gravity3 | Jan 10 2:13am
In reply to @susanjane77 "I am not sure of your Reclast protocol. I don’t tell the nurse anything! I go..." + (show)
@susanjane77

I am not sure of your Reclast protocol. I don’t tell the nurse anything! I go in and get my infusion…there is no protocol.
I don’t need studies to understand ..what rationale are you mentioning? I am quite confused. For me, my infusion…very simple…I go into the office, get my infusion and leave. There are no instructions to inform the nurse. She knows what to do and gets instructions from my doctor…not me.

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So sorry. I must have responded to your comment in error. Thanks for
letting me know

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