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Doctor insights on: Need Osteoporosis

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Any treatment besides calcium for osteopenia or do you need to wait till osteoporosis?

Any treatment besides calcium for osteopenia or do you need to wait till osteoporosis?

"FRAX" score helps: Agree with dr. Cabry. Calcium, vitamin d, and also weight bearing exercise are helpful to prevent osteoporosis. Ask your doctor for your frax score (based on demographic information and your DEXA scan results) to see if your risk of fracture is high enough to suggests prescription drugs. ...Read more

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Dr. PHILIP WALLER
1,579 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Does osteopenia always lead to osteoporosis? Please, need some answers?

Does osteopenia always lead to osteoporosis? Please, need some answers?

Nope: Hi. No, osteopenia is a RISK for osteoporosis, not a GUARANTEE of osteoporosis. Treatment to preserve bone health can prevent progression to osteoporosis. Adequate calcium & vitamin D help, but alone are generally not adequate to prevent progression to osteoporosis. ...Read more

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Can tamoxifen cause osteopenia or osteoporosis?

Can tamoxifen cause osteopenia or osteoporosis?

No: Tamoxifen is a selective estrogen receptor modulator (serm) that is used to treat/prevent breast cancer. Evista (raloxifene) is also a serm and it is used to treat/prevent osteoporosis (it also reduces the risk of invasive breast cancer in at risk women). Tamoxifen does not cause osteopenia or osteoporosis. Tamoxifen has been shown to preserve bone. ...Read more

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How can you decrase your risk of fractures due to postmenopausal osteoporosis?

How can you decrase your  risk of fractures due to postmenopausal osteoporosis?

Meds/exer/fall prev: Osteoporosis - poor bone quality and low bone quality- is very common, esp. In post- menopausal women. 50% may have a fracture after age 50. Calcium, vit. D, stopping cigs, reduce alcohol, fall prevention, wt. Bearing exercise, and medications (hormone therapy or anti- osteo meds are all part of a sensible regimen. Ideal approach is to prevent osteo in one's earlier years but great opportun. Now. ...Read more

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What problems have to do with vitamin d deficiency other than rickets, osteoporosis and osteomalacia?

What problems have to do with vitamin d deficiency other than rickets, osteoporosis and osteomalacia?

Malabsorption: Certain malabsorption syndromes can lead to this. Also certain areas in the world who lack essential vitamins. Also people who do not eat a healthy diet. All adults should take 1000 international units of vitamin d daily. Hope this answers your question. ...Read more

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What more can I do to prevent further osteoporosis bone loss?

What more can I do to prevent further osteoporosis bone loss?

What have you done?: Weight bearing exercises, proper diet, and supplements may be of help. There are also medications which can prevent further bone loss. You should discuss with your physician. ...Read more

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Diagnosed w/osteoporosis and spinal fractures high risk for more fractures is there anything i can do to gain bone mass w/out scary meds like fosamax (alendronate)?

Diagnosed w/osteoporosis and spinal fractures high risk for more fractures is there anything i can do to gain bone mass w/out scary meds like fosamax (alendronate)?

Yes.: First of all you need a medical evaluation including blood tests to find out why you have osteoporosis. You may have abnormal hormone levels, severely lacking vitamin D, or other problem which can be corrected. Medication named Forteo is the only medication currently available which builds new bone, improves bone quality, and helps with bone healing after a fracture. Fosamax does not. ...Read more

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Do men need calcium supplement?

Depends: We do not recommend calcium supplementation for the heck of supplementing. We always prefer you to get your calcium from your food. However, in men who has osteoporosis or osteopenia, calcium supplementation + vitamin d is appropriate and recommended. ...Read more

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Can you please define osteoporosis?

Can you please define osteoporosis?

Disease: Osteoporosis is a disease where the affected person has low bone mass and deterioration of the bones. This results in fragile bones and and increase in susceptibility to fractures and broken bones. Risk factors: gender (female) and age (post-menopausal). Excercise and calcium supplementation... In children (fortified milk) and young ladies are important, life-long preventive measures. ...Read more

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Do calcium supplements help prevent osteoporosis?

Do calcium supplements help prevent osteoporosis?

No: Absorption of calcium is greatly influenced by the presence or absence of other micronutrients. Calcium can decrease the rate of bone loss, especially in the elderly and in the presence of adequate levels of vitamin d. However, those with excessive bone loss would need an appropriate anti-osteoporosis therapy to prevent bone loss and fractures. ...Read more

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Can you please tell me how osteopenia, osteoporosis, and osteomalasia differ?

Can you please tell me how osteopenia, osteoporosis, and osteomalasia differ?

All similar : Osteopenia is a little bit of osteoporosis both mean weak bone usually due to too much bone resorption / osteomalacia is weak bone like rickets due to very low vit d levels. ...Read more

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Can I counteract potential osteoporosis family history by taking calcium supplements?

Can I counteract potential osteoporosis family history by taking calcium supplements?

One answer: Calcium and vitamin d supplements certainly are a part of reducing bone loss. Depending on your age, a DEXA or bone denstiy test may be in order to measure your bone density and see if bone loss is present. If so, other therapy may be indicated. Also weight bearing exercise is important in helping maintain bone density. ...Read more

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Can evista (raloxifene) be taken with strontium for osteoporosis?

Can evista (raloxifene) be taken with strontium for osteoporosis?

No due to blood clot: Both Evista (raloxifene) and strontium alone can cause blood clots. The combination has the risk of increasing the risk of blood clots even more. Blood clots can be fatal. There is no good data on the combination, so it's not recommended. ...Read more

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Osteopenia, osteoporosis or brittle bone disease--differences?

Osteopenia, osteoporosis or brittle bone disease--differences?

Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read more

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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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How to prevent osteopenia and porosis?

How to prevent osteopenia and porosis?

Be active, eat right: Pick your parents, don't smoke, alcohol in moderation (2/d-man, 1/d-women), be active, esp. Weight bearing exercises, e.g. Walk, run, racket sports, bball, etc); maintain weight (>115-120 helps), get your menstrual period, get adequate (not xs) protein, calories, , a, k, calcium, vitamin d in diet (other dietary factors like magnesium, selenium, silicon, boron, vitamin k are not as easily deficient. ...Read more

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How can calcitriol deficiency cause osteoporosis?

How can calcitriol deficiency cause osteoporosis?

Calcitriol is VitD : Vitmin d makes calcium absorption possible from the GI tract. Lack of it causes uncalcified bone to grow which is very weak and causes osteomalacia, a metabolic bone disorder. In children the disorder is rickets; adults get weak bones. It is cured by taking vitamin d by mouth. ...Read more

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Would Vitamin k2 supplements help prevent osteoporosis on warfarin? I know this would need INR monitoring

Would Vitamin k2 supplements help prevent osteoporosis on warfarin? I know this would need INR monitoring

See below: Taking vitamin K would negate the effects of warfarin. If you need to take warfarin, you should not take vitamin k. Do not change your medications without discussing it with your doctor who prescribed warfarin. Wish you good health. ...Read more

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Can taking Fosamax (alendronate) make you more at risk for a fracture?

Can taking Fosamax (alendronate) make you more at risk for a fracture?

Fosamax (alendronate) Fractures: Long term use of drugs like Fosamax (alendronate) have been associated with rare stress fracture in the proximal femur. Most sources seem to say that the use of Fosamax (alendronate) for some time is helpful to prevent the fractures of osteoporosis. ...Read more