Strontium citrate, fractures and lack of research

Yes, the dexa reading for a bone with strontium is considered to be over read by about 10% due to the way strontium affects the radiation used in the dexa analysis. But we no longer have to depend on DEXA; REMS and TBS both are not affected by the strontium radiation overread of DEXA. Interestingly, a TBS study of bone quality found strontium bones to be in the top 3 of treatments for bone quality. But even if you depend on DEXA it is only the first reading on strontium treatment that is pertinent for what is called the 10% strontium skew, after that you are just cking to make sure that your bone density continues to increase.
So this "oh no the dexa misreads strontium what will we do" scenario is no longer relevant. We now have REMS and TBS, and both those bone tests all say that strontium bone is dense and good quality bone. Plus, we have a research study with bone biopsies of strontium bone and viola good bone density and good bone quality. Amazing what mother nature has wrought with calcium and strontium in our water and ground.
https://www.inspire.com/groups/bone-health-and-osteoporosis/discussion/tbs-dexa-and-strontium/reply/7712668597918129698/
https://onlinelibrary.wiley.com/doi/full/10.1359/jbmr.071012

We would all love for strontium to be researched more, but with the advent of strontium via ranelate there is lots of research. Probably more research than for most other osteoporosis drugs.Plus there are several studies including one old one by the USA army on just strontium and on strontium via citrate.
No one is saying that 680mg of strontium daily is not a therapeutic dose level. You have to have a therapeutic dose to supply the amount of strontium needed to bridge holes in our bones which then allows calcium to adhere and for bone to grow. Dentists, brain surgeons, bone doctors are all using strontium infused products when they need to grow bone. Dang, the original sensodyne toothpaste still found outside the USA uses strontium in its toothpaste.
TBS and REMs are proving that people who have only DEXA do have improved bones with strontium. The dexa argument of 10% skew is lacking in the face of more than a 10% growth in bone density and in the back up results of rems and tbs which say that the bone density and bone quality are good for strontium users. Dang, according to TBS, strontium users are in the top three of bone quality results. And if that isn't enough we have the biopsies of strontium users bones.
The strontium via ranelate cessation was in Europe briefly for strontium ranelate; the company says it never was based on a ban, but the population study which caused all the concern was a study that has been unable to be reproduced by anyone, and Denmark tried for a year. I wouldn't base my drug or supplement decisions on a population study that can not be reproduced. But I would also never take strontium via ranelate; it has aspartame in it and that is just too concerning an additive to me and tied to too many problems in many research studies not just one flawed population study.
That shows one of the problems with trying to make money off of natural products. In order to patent natural products you must tack on a man made product or a man made delivery. Then you skew insurance where it only pays for the patented pharma med and not the compounded med. If you have to have the insured product I woud at least try to go with the natural product using a patented delivery device and research it extensively to try and maintain safety.

Strontium is an element and is classified as a metal. Strontium Citrate is synthesized from Strontium (whether harvested from plant, animal or the earth) and Calcium Citrate. The supplement mentioned by @windyshores contains 6mg of strontium.

Actually I take a plant based supplement and the strontium is from algae not metal based. There are 2 sources of strontium. I just want to know if it actually increases bone strength or not. I took -2 mg/year for one year and my bone density increased 5%.

The strontium is embedded in the algae, but comes from the earth, so I guess it is technically "vegetarian " because it is not from animal bones. But it could be derived from strontium-infused coral. As a necessary element, it really doesn't umatter how we acquire it.

I have been taking this for the last 5 years since I feel and crushed my L2.
My dexa scan is -3.7
😢I don't want to do shots or aledronate.

Hi
I am just confused as to this supplement.There's a lot of posts about.It seems controversial if this is something that works.Why would doctors not use it. I see my endocrinologist in february and i've had three Is zoldronic acid infusions. A little worried as to what the next step is

I have been taking this for the last 5 years since I feel and crushed my L2.
My dexa scan is -3.7
😢I don't want to do shots or aledronate.

@blessedsista24 the therapeutic dose of strontium is 680mg. That supplement has 5.5mg. Also in my experience 1000mg Vitamin D isn't always enough.

I fractured three lumbar vertebrae with a spinal DEXA of -3.7 and you have already fractured L2, which increases risk of future fractures.

I just hope you don't end up like me! I have now done Tymlos, which got me up to -2.5 (borderline) in spine, 4 months Evenity and low dose Reclast. At some point I will consider strontium but only at therapeutic doses. And knowing that DEXA will never be accurate (though all my fractures already render it less useful.)

Tymlos and Forteo do not cause jaw problems but do need to be "Locked in" with a bisphosphonate which can cause jaw issues, usually after 3-5 years- so time on those is limited. Prolia is the medication that has rebound so that you may be worse off if you start. The other meds (Forteo. Tymlos and Evenity) can be "locked in" with Reclast or Fosamax and then drug holidays are possible.