1. < Osteoporosis & Bone Health

Is 3% annual gain in bone density a realistic goal?

Posted by rogerscott8562 @rogerscott8562, Feb 3 11:38pm

Age 80, male. Able to exercise, yoga, bike, hike, etc. All DEXA scores rated Osteoporosis. Spine T score -3.5.
Probable cause many years of steroids for lung diseases. Cut Wixela dosage to 250/50 once per day from 2 per day. Result: only moderate increase in lung symptoms. I prefer that to breaking my hip or a vertebrae.
My draft plan is approach bone density normal in six years with Vitamin D, calcium, protein, exercise, and some osteo medicine. I am taking Alendronate, 10mg/day.

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formisc | @formisc | Feb 5 6:49pm
In reply to @rogerscott8562 "In reading the Alendronate statement, I see that for men the average first year gain in..." + (show)
@rogerscott8562

In reading the Alendronate statement, I see that for men the average first year gain in BMD at the spine is 5.3%, If assumed the same for a second year, I could get to Osteopenia status in two years. But 2 years of high chance of fracture is daunting. The side effects of the alternatives, Evenity, Forteo, and Tymlos are also daunting. Thanks to those who directed me to look at those options. I will talk about those options and a plan with my doctor.

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If i am not wrong, the % gain is based on the actual bone density value in g/cm2. So with 2 years of 5.3% gain per annum, the expected bone density would be:

Pre-treatment BMD in g/cm2 x 1.053 x 1.053

The new bone density would then translate to a new T-Score which has to be below 2.5 to fall within the osteopaenia range

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