Osteoporosis Treatment Options

Posted by mrg1 @mrg1, Oct 23, 2025

I have had 2 DEXA scans with spine at -2.7. Started Fosomax but had esophageal issues. Endo suggesting forte for 2 years followed by 1 shot of reclast to lock in gains.
I am concerned about side effects since I am still dealing with GERD from the fosomax even though Ive been off it for months.
Anyone have any experience with fosomax issues and then forte or reclast?

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Profile picture for gently @gently

@yvp25 hello.
will your physicians do anything (like surgery) to control the hyperactive parathyroid?
Thanks for your post.

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@gently
In my case the osteoporosis is due the abnormal growth in parathyroid gland producing fluctuating and high levels of pth harmone....my doctor advised me to wait and watch for any growth...since the nodule is too small...i have to get yearly ultrasound neck to see for growth....if it grows...then i have to under parathyroidectomy (of the affected gland) or i can go for radiofrequency ablation which will shrink or eliminate the gland affected...........for now i am on alderonic acid(osteofos), vitamin d supplements...my last dexa scan taken 2 month ago had shown some minor improvemnets.....

Condition like mine might have gone unnoticed since my calcium levels were always normal....after comparing a series of pth levels test of 3 months and ultrasound and sestamibi scan, the diagnosis came out to be NORMOCALCEMIC HYPERPARATHYROIDISM......most of the time there is wrong diagnosis im this case and doctors precribe HTR injections which causes more bone loss

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Profile picture for mrg1 @mrg1

Thank you for your input. My endocrinologist has run extensive blood work. but age and family history may be my cause of osteoporosis.
I was very good about staying upright for an hour and following the protocol but unfortunately still had esophageal issues.
I hope you are finally on a med that will help your bones.

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@mrg1
if you can..try some AYURVEDIC remedies for GERD.....ayurvedic treatment may take some time to work but works all the time....moreover there is no sideeffects of ayurvedic remedies...and doesnt interact with the allopathic medicines.....

i too had gerd few years back....i followed a ayurvedic doctor's treatment regime and in 8 months iwas free of gerd....but it has to be followed by strict diet.

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yvp25, it sounds like you are getting marvelous care.

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Profile picture for nycmusic @nycmusic

@daisy2022 it does seem that once people start the meds, most are then on them forever, switching around and hoping something helps more than it hurts. Am I wrong about this ?

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@nycmusic agree!!! Its so scary and nerve wrecking!!

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Profile picture for mrg1 @mrg1

Thank you for your input. My endocrinologist has run extensive blood work. but age and family history may be my cause of osteoporosis.
I was very good about staying upright for an hour and following the protocol but unfortunately still had esophageal issues.
I hope you are finally on a med that will help your bones.

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@mrg1 I had severe issues from actonel- esophagel- -still have it - got off actonel- had to go to ER- thought I was having heart attack- still difficult to swallow some food

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Profile picture for yvp25 @yvp25

@mrg1
if you can..try some AYURVEDIC remedies for GERD.....ayurvedic treatment may take some time to work but works all the time....moreover there is no sideeffects of ayurvedic remedies...and doesnt interact with the allopathic medicines.....

i too had gerd few years back....i followed a ayurvedic doctor's treatment regime and in 8 months iwas free of gerd....but it has to be followed by strict diet.

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@yvp25 glad this works for you…more natural approach…but you are right, the diet is very strict, not for everyone….and patience is required !

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Profile picture for nycmusic @nycmusic

@daisy2022 it does seem that once people start the meds, most are then on them forever, switching around and hoping something helps more than it hurts. Am I wrong about this ?

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@nycmusic I haven’t started anything yet and not crazy about doing so based on the side effects of many, however I probably need to since my Dexascan showed another significant change. I know for sure though, that I don’t want to start something that’s dangerous to stop.

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Profile picture for dl0613 @dl0613

@nycmusic I haven’t started anything yet and not crazy about doing so based on the side effects of many, however I probably need to since my Dexascan showed another significant change. I know for sure though, that I don’t want to start something that’s dangerous to stop.

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is Nycmusic similar to Prolia?

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grayson3, nycmusic is a very helpful poster on Mayo Connect. Not nearly as dangerous as Prolia. I think Evenity is the closest in similarity, producing similar bone, but very different in mechanism.

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