Doctor insights on:
Osteopenia And 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 moreSee 1 more doctor answer
Currently it is better to think of osteoporosis as a condition where the bone is weakened, and can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly ...Read more
Osteoporosis: The best way to treat with over the counter medications is with vitamin d supplementation as well as with calcium. Typical diets do not contain enough of these. Also, your skin helps to convert vitamin d into the usable form for your body so be sure to get outside. ...Read moreSee 2 more doctor answers
Exercise and vit D: Weight-bearing exercises will help strengthen your bones. Calcium and vitamin d supplements also help-i recommend a blood test for vitamin d (25 hydroxy vitamin d), it should be 30 or higher. Some people need much more vitamin d than what is recommended to get their level up to 30. You can use the frax calculator to determine your fracture risk: http://www.Shef.Ac.Uk/frax/tool.Jsp?Country=9. ...Read more
What is the difference between osteopenia and osteoporosis? What effect does nutrients like calcium and vitamin d have on these conditions?
Matter of degree: Osteopenia can simply refer to loss of bone substance (density) on x-rays. It can also mean bone loss not severe enough to be called osteoporosis. Osteoporosis is density more than 2.5 standard deviations less than normal young people (t score less than -2.5). Osteopenia is t score of -1.0 to -2.5. Calcium and vitamin d can help, but check with specialist. Other conditions can mimic osteoporosis. ...Read more
Less bone loss: Osteopenia is the term we give to the amount of bone loss that occurs in a patient with t scores between -1 and -2.5 based on the world health organization's criteria for measuring bone loss. The more negative the t score, the more bone loss has occurred. If a t score is between 0 and -1, this bone density would still be considered normal. I hope that helped answer your qquestion. ...Read more
Degree of bone loss: Osteopenia is a mild to moderate degree of bone loss. Osteoporosis is a severe degree of bone loss. Osteomalacia results from poorly mineralized bone and would show a low density on testing even if there was a normal amount of bone. Diagnosis of osteomalacia is made by blood tests and, if necessary, by evaluating a small amount of bone taken from the pelvis. ...Read more
Bone density: Osteopenia and osteoporosis are diagnosis made by comparing your bone density to that of a young healthy adult. Osteoporosis is worse than osteopenia, and with time and lack of treatment osteopenia can worsen, but it doesn't necessarily have to. Weight bearing exercise, adequate calcium and vitamin d intake, and smoking cessation can help protect your bones. ...Read moreSee 2 more doctor answers
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