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Doctor insights on: How Does Osteoporosis Affect The Bone Matrix

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Can all osteoporosis medications build bone?

Can all osteoporosis medications build bone?

No: Not all osteoporosis drugs "build bone." some medications will slow down the breakdown of bone while others will actually build bone. Talk to your doctor about which one is appropriate for you. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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What causes osteoporosis (thinning of bone)?

What causes osteoporosis (thinning of bone)?

Many things: Osteoporosis can be the result of low calcium, low Vitamin D, decreased bone production, increased bone turnover, disuse of a limb due to injury or pain, or other medical conditions such as hypothyroidism or kidney disease. Therefore, it is important to have osteoporosis evaluated with a physical and blood work so that the correct treatment can occur and prevent fractures. ...Read more

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Is it possible to rebuild bone, without medication, by diet when you have osteoporosis?

Is it possible to rebuild bone, without medication, by diet when you have osteoporosis?

Not likely: Problem is bone cell turnover favors destruction over new production and diet will not influence this disparity. ...Read more

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What are the reasons that would stop bone medications from working in relation to halting rapid osteoporosis?

What are the reasons that would stop bone medications from working in relation to halting rapid osteoporosis?

Absorption: The most common cause for bone antiresorptive medications to not work is that they are not being taken correctly, and not being absorbed into the blood stream. This is especially true for bisphosphonates. One also needs to look for a secondary cause of osteoporosis such as hyperparathyroidism, hyperthyroid, steroid effects, other meds. ...Read more

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What is the best alternative or combination to bisophanates for severe osteoporosis that will actually build new bone?

Osteoporosis: Bisphosphonates with vitamin d, calcium supplements and appropriate hormonal therapy (for post menopausal females) work synergistically for management of osteoporosis. ...Read more

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Does osteoporosis target only the damaged areas of bone or does it build up in the good areas too and cause too much bone?

Affects everywhere: Osteoporosis is loss of skeletal bone. Although we typically measure changes in the spine, hip, and sometimes wrist, it is a process that effects every bone in the body. There are two major types of bone: trabecular (bone on the inside) and cortical (bone on the outside). The spine has mostly trabecular bone, the hip has both, and the wrist mostly cortical. ...Read more

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What are bone markers for osteoporosis treatment?

What are bone markers for osteoporosis treatment?

Multiple: N-telopeptide in urine is an older one. It is measured on the second voided urine specimen of the day and so is a little complicated to get. C-telopeptide is a newer one that is measured in blood-can be collected anytime so is used more often. If treatment is good, these markers will be low (they are measures of bone turnover). Your 25 hydroxy vitamin d level should also be above 30. ...Read more

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How can you combat bone osteoporosis?

How can you combat bone osteoporosis?

Multifactorial: Weight bearing, vit d, vit c, calcium, evaluating your trace minerals and vitamins hormone replacement, bisphosphonates (controversy). See an endocrinologist. ...Read more

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What bones does osteoporosis affect most?

What bones does osteoporosis affect most?

See below: The most common areas are the wrists, hips, and vertebrae of the spine. Obviously, any bones may be fractured but those listed above are the more common areas. ...Read more

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Is low bone density indicative of osteoporosis?

Is low bone density indicative of osteoporosis?

Not by itself: A low bone density usually indicates osteoporosis but a small number of people may have osteomalacia, a condition in which there may be a normal amount of bone but it is poorly minerlized. Bllod tests can distinguish the two problems. ...Read more

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I am suffering from bone pain, could it be osteoporosis?

I am suffering from bone pain, could it be osteoporosis?

OP and pain.: Osteoporosis can cause pain emanating from the bones, but other things can do that, too. Wouldn't just assume that OP is causing your pains. Do you smoke? Have stiffness of your joints? You may want to get evaluated to be sure. ...Read more

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What exactly will happen to bones when suffering from osteoporosis?

What exactly will happen to bones when suffering from osteoporosis?

Fractures may occur.: Osteoporosis produces no symptoms until fractures occur. This often occurs because of trauma, particularly hip fractures caused by falling. Vertebrae can collapse without trauma in people with severe osteoporosis. Numerous medicines are available for the prevention of bone loss and reduce the risk of fractures. ...Read more

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What are the most investigative tests for bone loss, when one has severe osteoporosis?

DEXA and blood: The gold standard for osteoporosis is DEXA scanning. Other options for evaluating severe osteoporosis are blood tests which can measure bone breakdown, as well as MRI scanning which can show thinning of the bones... But DEXA is still the gold standard. ...Read more

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I broke my tibia bone in half three months after I founnd I have osteoporosis. Should it still hurt after 1 1/2 years?

Possible nonunion: The tibia is notorious for not healing. It's possible that it never healed and you've developed a nonunion, for several different reasons. I'd make an appointment with an orthopedic surgeon to evaluate why you're still having pain in your tibia. ...Read more

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What are our bones made of? And when you have osteoporosis what part of the bone is gone? How do u replenish what's gone?

What are our bones made of? And when you have osteoporosis what part of the bone is gone? How do u replenish what's gone?

Osteoporosis: Osteoporosis is uncommon in a 28 year old woman.
Have you had a bone density test?
Have you sustained any fractures?

If you have had all those concerns confirmed you must see a bone specialist - Endocrinologist and an Orthopedist. ...Read more

Dr. Liawaty Ho Dr. Ho
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Is there a cure for osteoporosis coupled with Paget's deasease of the bone?

Dr. Liawaty Ho Dr. Ho
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Is there a cure for osteoporosis coupled with Paget's deasease of the bone?

Unfortunately no: There is no cure for osteoporosis and no cure for paget's disease of the bone. Osteoporosis is part of the aging process, wear and tear- no we have not found any fountain of youth yet. Medication is available to help osteoporosis and paget's disease of the bone- that is intended to help relief bony pain, and for other indication- ie. Abnormal blood test etc. Please discuss w/ your md in detail. ...Read more

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Does milk leach calcium from bones? I have osteoporosis and don't want to make matters worse.

No not at all: Milk is commonly used to help you get your daily calcium needs. No it does not leach calcium...Who ever said that! ...Read more

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How does the bone density test define osteoporosis?

Only partly: The DEXA scan gives the bone mineral density at the hips, spine and forearm. These scores can predict osteoporosis: 't-score' of less than -2.5 is considered osteoporosis. However, many people suffer osteoporosis fractures despite having better bone densities. So, we also use other factors: age, ethnicity, size, family history, prior fractures, smoking, alcohol, other conditions to predict risks. ...Read more

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Dr. PHILIP WALLER
1,579 Doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more