Doctor insights on:
Medicine For Bone Loss
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
Should I take the new medication forteo? I have been taking actonel, (risedronate) my last bone density test showed I had 10 percent bone loss. I am afraid to take the drug because of the side effects. Is there something else I can take?
Actonel (risedronate): Actonel (risedronate) and Forteo are in a class of drugs called bisphonates. These drugs are very valuable in preventing fractures of bone due to progressive loss of bone density called osteoporosis. Yes the drugs have been associated with several significant side effects, but like any drug you need to weigh the benefits against these side effects. Spinal, hip and long bone fractures can have serious life altering effects on ones life, more serious than the side effects, so if you are at risk of fracture, which your bone scan indicates, then use of these drugs are justified. This is a conversation you need to be having with your physician since they know you better than anyone on this board can. They can review the risks and benefits to help you make a decision. ...Read more
Should a 69 year old lady with heart trouble be taking the drug called evista (raloxifene) for bone loss if she is also on an aspirin regime?
No, but qualified: Should not be a problem is she has no history of thromboembolic complications. ...Read more
Very difficult: You've asked a great question. In general, after age 21-25, the body only loses bone. Most of our osteoporosis medications inhibit additional loss of bone, but by inhibiting the resorption of bone, we also inhibit any new formation. A number of new medications have good initial results showing more bone formation, but they need more time to prove their value. ...Read more
Varies: Bone loss features can vary. People may be asymptomatic to painful if associated with bone fractures. Bone mineral density (bmd) testing looks at bone quantitative amount. It does not determine bone quality. The quantity and quality of bone determine strength. Bone loss may be prevented/treated by bisphosphonates, denosumab, impact exercise, calcium, vitamin d. ...Read more
Bone loss: There are a number of medical conditions and medications that can cause bone loss. That said, it is uncommon in a 37 year old woman unless there is a medical condition or a medication that is causing this. Have you had a bone density test and if so what did it show? If you have not had a test but think it necessary please discuss with your doctor. ...Read more
Many options: First, find out the cause of the bone loss so you are not just treating the symptom instead of the cause. If you have osteopenia, make sure you maintain proper nutrition, keep active, do weight bearing exercises daily, take adequate calcium + vit d supplement (1200-1500 mg, 2000 iu vit d). If you have osteoporosis, do all above and a fda approved osteoporosis after discussion with your md/do. ...Read more
Can't answer: In general with osteoporosis bone loss you lose bone density in both the horizontal struts and the vertical trabeculae. The cause of the bone loss, the resorption canals are in all of the trabecular bones horizontal and vertical. Normal bone turnover does this also but in osteoporosis these resorption canals are increased in number and this leads to increased the bone loss. ...Read more
Bone loss=: Non specific, descriptive term encompassing various disorders of abnormal bone turnover, production, or mineralization which result in weakening/"softening" of bone. ...Read more
Yes: Estrogen promotes healthy bones. With menopause, estrogen levels fall. Many women experience a rapid loss of bone in the 1st 2 yrs after menopause. Estrogen therapy (et) starting at the time of menopause can slow down /prevent this bone loss. Starting et much later does not reverse osteoporosis. Promote bone health by taking ca, vit d, participate in weight bearing exercise, and don't smoke. ...Read more
Severe: When a dentist refers to 50% periodontal bone loss, they are generally seeing an area where half of the bone that was originally supporting a tooth has been destroyed. Sometimes this bone loss is localized (affecting 1or 2 teeth), but often it is "generalized" meaning that a similar amount of bone has been lost around several or all the teeth in the mouth. ...Read more
Yes: Adequate calcium and vitamin d intake are important. Numerous studies have shown that estrogen replacement therapy will significantly decrease bone mineral loss. For women who can not or will not take estrogen there are a number of effective medications specifically intended to decrease bone mineral loss. ...Read more
Yes: At menopause your body stops producing estrogen. The decrease in estrogen is a factor in the development of osteoporosis. Bone loss can be controlled with medication, vit d, calcium, and exercise. You should discuss your risk factors with your pcp and he/she should be able to start appropriate treatment to try to minimize bone loss. ...Read more
4: The healthy measurement is 2-3 mm. Anything above that is considered abnormal. ...Read more
A bone density/BTM: A DXA bone density is the best way to identify if you have osteopenia. You will be evaluated with a frax if you do your DXA at the right place. You should get a complete copy of your report including the graphics. This is needed to estimate your fracture risk. The world health organization (who) has developed a fracture risk profile the frax. Bad news medicare has decreased payment too low. ...Read more
Exercise - especially weight bearing exercise will help to increase bone mass (premenopausal) or slow down the rate of bone loss (post menopausal).
Calcium slows the rate of bone loss. Women over 50 should take between 1200mg-1500mg per day of calcium (divided into 2-3 doses per day).
Leafy green veggies, dairy and yogurt added to your diet.
Estrogen replacement in postmenopausal women may help. ...Read more
I was wondering is it possible to get 9 cavities, deep pockets, and bone loss within the matter of 5-7 months?
Since bc and ooph I have severe osteo and have put on 10 kilos, because I have no estrog. How can I lose this weight & not more bone loss?
Estrogen loss?: At your age, you should be on Estrogens to lessen risk for osteoporosis and cardiovascular disease prevention! But estrogen deprevation does not causes weight gain per se. It is likely to be caused by diet, lack of exercise, or other hormonal issues! But a better diet and more exercise is a cornerstone for weight loss, no matter the cause for weight gain! ...Read more