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Diagnosed with osteopenia

Posted by relaxedphd @relaxedphd, Jul 27 2:23pm

My bone scan showed osetopenia (probably due to taking prednisone 5 mg every day for PMR. I don't want to go on Fosamax or Prolia due the side effects of these drugs. I do take calcium 1600 mg, VIt D
5,000 iu daily. Is there anything else I can do to enhance bone health?

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petitefitsmartfemale | @petitefitsmartfemale | Jul 29 8:59am
In reply to @donnabutcher "Read about vit K 7 and 4 form. Do weight bearing exercise lift weights Hormone replacement..." + (show)
Profile picture for donnabutcher @donnabutcher

Read about vit K 7 and 4 form. Do weight bearing exercise lift weights
Hormone replacement
My husband had osteopenia in 2019 age 79 and did nothing other than start calcium then the concern got lost in the shuffle of Covid. He takes 2 mil of prednisone
In 2025 he had 3 spine compression fractures .
My Dexas had all been normal but moved slightly lower last year. His showed only osteopenia except femur stem a few months prior to the fractures and after reading lots I insisted we both get a Quantatative CT which showed him to have severe osteoporosis and me to have average of -2.2. It’s more accurate than Dexa.
He was fortunate enough to be approved for Evenity and so was I which I do gladly after seeing the effect of his quality of life.

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@donnabutcher , Thank you for the information. I never heard of a Quantatative CT. Please keep us updated on how the Evenity works.

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oopsiedaisy | @oopsiedaisy | Jul 29 5:31pm

I assume that stopping prednisone is not an option? Other treatments can include optimizing your diet, HRT, and increasing weight bearing exercise and lifting weights. This may help a bit but if your T-scores continue to decrease then medication may be required to slow bone loss. Your doctor should monitor your bone density to observe its trend over the next few years. If you are in osteopenia range then a conservative approach would be to address any nutritional deficits, eat a healthy diet that includes enough calcium (generally 800 to 1000 mg) per day, and find a good personal trainer and start lifting weights then see how your bone density changes over the next year or two.

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relaxedphd | @relaxedphd | Jul 30 5:58am
In reply to @oopsiedaisy "I assume that stopping prednisone is not an option? Other treatments can include optimizing your diet,..." + (show)
Profile picture for oopsiedaisy @oopsiedaisy

I assume that stopping prednisone is not an option? Other treatments can include optimizing your diet, HRT, and increasing weight bearing exercise and lifting weights. This may help a bit but if your T-scores continue to decrease then medication may be required to slow bone loss. Your doctor should monitor your bone density to observe its trend over the next few years. If you are in osteopenia range then a conservative approach would be to address any nutritional deficits, eat a healthy diet that includes enough calcium (generally 800 to 1000 mg) per day, and find a good personal trainer and start lifting weights then see how your bone density changes over the next year or two.

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@oopsiedaisy thank you

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