Treating Osteoporosis: What works for you?

Posted by heritage1955 @heritage1955, Apr 1, 2016

Hi. I'm new to the site and am interested in treating osteoperosis. I'm 39 yo and recently had a bone density that showed I'm at -2.4. So, going through the intial "I can't believe it" stuff. 🙂

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@cheriums

Everyone who takes acid-reducing meds should be concerned about it. Your prescribing doctor should be checking levels any time you need a blood draw.

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I am not taking acid-reducing drugs. These posts need to address someone else. I just corrected a post that said that Pepcid and Zantac are PPI's.

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@windyshores

I am not sure who is concerned about iron/mineral absorption with acid-reducing meds, and hope the person sees your post.

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Everyone who takes acid-reducing meds should be concerned about it. Your prescribing doctor should be checking levels any time you need a blood draw.

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@elenamayo

I am deciding between Tymlos and Evenity... The numbers are -3.4 in both spine and hips (although total hips are -3.0), but healthy otherwise. One doc recommends Tymlos, another doc says Evenity for its better effect on the hips. Concern with Evenity is a) it's very new, and b) its increased risk of cardiovascular events. Do doctors that prescribe Evenity also put people on blood pressure meds to relax blood vessels? Seems intuitive that the blood pressure meds could preempt heart attacks and strokes. Hoping to hear what justifications your doctors have given you for either drug and the side effect management. Thanks all in advance.

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As i understand in reading about Evenity, the risk for cardiovascular events is listed as a side effect IF you already have cardiovascular issues. My family has some history with heart issues so my doctor had me get a Coronary Artery Calcium Score which is a CT scan. Insurance covered it but the lab said if I paid for it myself it would cost $150. My results were the best possible. I plan to start Evenity next month and will be posting more about me and my experience. You can find more info by accessing Evenity.com.

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I am also. Thanks for your inquiry. I will be following also

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@windyshores

@jbcoobb2380 I do not understand why you responded with this post about timing of strontium relative to calcium. The issue with strontium is that it makes bone density look better than it is, on the DEX scan. (And strontium citrate may have the same possible cardiovascular effects as the ranelate form; that is only speculation since I have not seen studies.)

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I had leg cramps which were beyond one’s imagination. I stopped the grow bone and the horrible leg cramps disappeared

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@cheriums

Windy, you are correct. My brain was half asleep I think. Trying to take a shortcut perhaps. My point was, actually, to say (try to say?) that reducing stomach acid will have the same effect on mineral absorption however you do it. You can have your iron (Fe) level checked next time you have a blood draw. You don't want to take supplemental iron without knowing if you actually need it. There is such a thing as too much, and it will damage your liver.

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I am not sure who is concerned about iron/mineral absorption with acid-reducing meds, and hope the person sees your post.

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@tsc

L. Reuteri is a probiotic that is being studied for its relation to bone health. Do you know what form and dosage of zinc supports bone health? Thanks!

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No. The summary of the study I read didn't give details like doses. I get my supplements from Life Extension because I trust the quality. And they share sources of info. I just got their 50 mg Zinc Caps, which is zinc monomethionine and zinc citrate.

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@windyshores

Zantac and Pepcid are not PPI's. Prilosec (omeprazole) is a PPI. Zantac and Pepcid are H2 blockers which also work to reduce acid, but are different from the proton pump inhibitors in the way they work.

Jump to this post

Windy, you are correct. My brain was half asleep I think. Trying to take a shortcut perhaps. My point was, actually, to say (try to say?) that reducing stomach acid will have the same effect on mineral absorption however you do it. You can have your iron (Fe) level checked next time you have a blood draw. You don't want to take supplemental iron without knowing if you actually need it. There is such a thing as too much, and it will damage your liver.

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I am currently on monthly Evenity shots and would like to hear the answer to this question. My weakest point because of osteoporosis is my spine. I'm 3 shots into my series of 12.

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I am deciding between Tymlos and Evenity... The numbers are -3.4 in both spine and hips (although total hips are -3.0), but healthy otherwise. One doc recommends Tymlos, another doc says Evenity for its better effect on the hips. Concern with Evenity is a) it's very new, and b) its increased risk of cardiovascular events. Do doctors that prescribe Evenity also put people on blood pressure meds to relax blood vessels? Seems intuitive that the blood pressure meds could preempt heart attacks and strokes. Hoping to hear what justifications your doctors have given you for either drug and the side effect management. Thanks all in advance.

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