Has anyone seen an Endocrinologist for osteoporosis?

@fsf What is gut bacteria remediatio

@gravity3 yes - extensive testing prior to meds and infusion. Initially, doctor thought Ca, Mg, D3 deficiency. But all levels were correct. Have always had an issue with hormones (serious athlete - loss of mensis). However, family history indicated that hormone replacement was not an option.

@gretchen1018 Your gut bacteria are the 'bugs' (microflora and fauna) that aid in digestion. Just like all bacteria, there are beneficial and not so beneficial bacteria. Poor diets 'starve' the beneficial bugs, and the "not so good" can take over. Fiber, leafy greens, sheep and goat's milk cheeses, low sugar, non-refined foods favor the good bacteria. Mediterranean diets, fermented foods, and avoiding too many "nightshades" and high lectin foods can help 'heal' a gut. Look up leaky gut syndrome, and it will explain a lot of these concepts. When your gut bacteria are not "healthy", digestion and nutrient absorption are compromised. Bones suffer.
Hope this helps

I have found endocrinology helpful with managing my OP. Through testing, it was discovered that I have hypercalciuria (excretion of higher levels of calcium than normal) which is likely a contributing factor to my OP. I take a low dose of hydrochlorothiazide which keeps me in the high normal range of calcium excretion (diagnosed through 24 hour urine collection). I also have to keep my dietary sodium intake low as there is an interaction with sodium intake and calcium excretion. Without endocrinology on board, I doubt my PCP would have figured this out. I say yes to Endocrinology!

@ltfh my husband had a vertebral fracture at 59 yo when prepping our house prior to hurricane Milton. His endo also discovered he was excreting excessive calcium in his urine. He was also started on HCTZ but no mention of low sodium. We are also awaiting repeat 24 hour urine collection. Please keep us posted if you learn any further preventative measures. Ty!

@ltfh my husband had a vertebral fracture at 59 yo when prepping our house prior to hurricane Milton. His endo also discovered he was excreting excessive calcium in his urine. He was also started on HCTZ but no mention of low sodium. We are also awaiting repeat 24 hour urine collection. Please keep us posted if you learn any further preventative measures. Ty!

@ltfh my husband had a vertebral fracture at 59 yo when prepping our house prior to hurricane Milton. His endo also discovered he was excreting excessive calcium in his urine. He was also started on HCTZ but no mention of low sodium. We are also awaiting repeat 24 hour urine collection. Please keep us posted if you learn any further preventative measures. Ty!

@crbarefoot

Has he had a dexa scan?

@fsf I'm 77 years of age and still somewhat active. I have seen both a rheumatologist and my regular endo for diagnosed osteoporosis.. The rheumatologist was not very helpful but the endo, who treats me for other conditions, was thorough. She ordered various bloodtests and most recently the calcium urine test. She prescribed Tymlos at my request (the rheumatologist did not despite a -3.2 wrist reading on the DEXA scan) and the endo is monitoring the Tymlos results on an intermittent basis. I believe the doctor experience will differ from doctor to doctor and a good course of action is to reach for 2d and/or 3d opinions. As a lifelong athlete myself, former marathon runner, I've had my share of injuries and conflicting medical opinions. Find someone you trust and do online research on non-sponsored sites. I never thought I would develop osteoporosis and I should have known better with my thin body frame. Now I'm doing a number of things to counteract (weight training, various supplements including leucine and increased protein intake, anabolic injections). I have not tried HRT due to family history. This website is an excellent source of information. Best of luck!

@ltfh my husband had a vertebral fracture at 59 yo when prepping our house prior to hurricane Milton. His endo also discovered he was excreting excessive calcium in his urine. He was also started on HCTZ but no mention of low sodium. We are also awaiting repeat 24 hour urine collection. Please keep us posted if you learn any further preventative measures. Ty!