Newly diagnosed, requesting feedback on meds

Tymlos or Forteo before Fosamax is definitely the way to go.

This is good information (and this person often posts here.) He's made some really easy-to-understand videos.

Thanks so much! This is so helpful!

I echo the recommendation above to look into an anabolic medication instead of starting with Fosamax. With that many fractures, you would be classified as having severe osteoporosis and Fosamax is not your first choice.

I’d also recommend seeing an endocrinologist who specializes in osteoporosis for your care.

Re: GERD- I developed severe acid reflux after month 9 of being on Fosamax. It took over year to really get in control working with a GI doctor. I did take the Fosamax exactly as directed, I did have gains in my spine to osteopenia , hips remained stable. I switched to Reclast 9/24 and will have another infusion 9/25.

Has anyone tried Actinol? I’ve been on a weekly pill for 2 months with absolutely no side effects!

I am not a doctor but Your Dexa scores do not appear to reflect the severity of your symptoms and fractures. YOu have amde major changes in your life toward health and I applaud your dedication to improve your wellbeng. BUt you may need more help.
.. I would recommend a complete workup to reveiw diet, lifestyle medical history - checking for systemic inflamation, GI issues as well as hypersensitities. Past steriod use??? or cancer exposure? medication use?? Even though you said you were checked for bone dieases, did the docs do a complete Bone dysplasia genetics panel?
Purchase the book ' Great Bones ' by Dr Keith McCormick and read it cover to cover. It is excellent. THis may shine light on areas that need looked into for your particluar situation.
I agree that an anabolic med may be your best choice rather than a reasportive. You need to build and strenghten, Try to make peace with the fact that meds are needed - they are a life saver for many of us. Sending positive energy for you to find the best path forward in health and happinness

@dmshope - Sorry to hear about your osteoporosis diagnosis. Yeah it sucks. As @njx58 mentioned, I did put together a presentation just for people like you new to osteoporosis https://youtu.be/OVRiiyHXeh8 .

If you didn't have any fractures, based on your T-Scores, I too would say Fosamax would be a solid choice (except for the GERD). But with the past fractures, I strongly recommend an osteoanabolic (bone forming agent) like Tymlos, Evenity or Forteo to build back some bone structure before moving to a anti-resorptive like Fosamax. I would lean toward Tymlos though any of the three would probably work well.

Good luck!

@lrattner, I second the choice of Tymlos, considering past fractures history.

Thanks so much for your thoughtful response. I’m meeting with my Dr in a few weeks for a follow up to discuss meds and some of the questions you mentioned. I’m hopeful!

Thanks! Another poster shared your video and it was incredibly helpful! I appreciate your comprehensive explanations, especially about the differences in outcomes.