Connect
alendronate and no progress
I have been taking alendronate (Fosamax generic) for 2 years. Just had another DEXA scan, and it showed slightly worse bone strength, by T score. My nurse practitioner thinks I should continue with the alendronate despite this. I have been diligent with calcium intake and vitamin D. Has anyone else had a similar experience?
Like
Helpful
HugInterested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.
Connect
My endocrinologist thinks so. At first I was drinking about 20 ounces of water when I took my fosamax and my results were not very good. After that she insisted that i drink only 8 ounces of water with my pill 6 months later I had the blood work repeated and had the results she expected. I guess sportiness more isn't better!
-
Like -
Helpful -
Hug
5 ReactionsNot a supportive response to a patient.
-
Like -
Helpful -
Hug
2 Reactions@patwerthman I have had 3 injections and the second 2 went ok. I am concerned b/c from my reading, the endo should have my P1NP checked but she says it is unnecessary.
Yes. 3 years
Oh my gosh. Really? This is something I didn’t know either
-
Like -
Helpful -
Hug
1 ReactionSo should a test be called P1NP? Good to learn yours are going ok.
See below
@hillclan When taking your meds, are you using tap water? If you have used mineral or spring water, it has added calcium which will reduce the drug’s effectiveness.
There are a lot of endo’s that don’t follow the bone markers. Personally I don’t understand that point of view. Yes, she should have done your CTX and P1NP. It would tell how much the osteoclast resorption is (CTX) and then the P1NP would show bone-formation marker of the osteoblastic activity. These markers are done prior to starting and then 3-4 months after to see if Evenity makes a difference for you. I would insist on having this done.
I only use tap water, but thanks for bringing this up because it may help others.