Doctor insights on:
Quickly Osteoporosis Treatment
Immobilization: Hi. Both weight-bearing and muscle use are good for bone health. You're not weigh-bearing OR using muscles if you're immobilized. Skeletal mass and strength suffer. It appears that the cells that eat away bone (osteoclasts) are relatively more active than the cells that fill the eaten-out bone back in (osteoblasts), so there's a net loss of bone mass and bone architecture & urinary loss of calcium ...Read moreSee 1 more doctor answer
Osteoporosis.: For osteoporosis, it's weight bearing exercise, calcium and vitamin D3 supplementation, keep your weight down. Medications when necessary would include Fosamax, Actonel or Boniva (ibandronate). You'd need bone density tests every two to three years after you reach the menopause and treat more aggressively with medications dependent on the results. ...Read moreSee 1 more doctor answer
Several medications.: Steroid-induced osteoporosis can be prevented if a bisphosphonate drug or Forteo is taken during the time of steroid use. If osteoporosis is already present the same drugs would be helpful in preventing further loss but a return to normal bone density would be unlikely. ...Read more
Multiple medications: It is documented that early, agrressive therapy is indicated in RA and results in much better outcome as opposed to delaying agrressive therapy(as was done in the past). Initial therapy would include plaquenil, (hydroxychloroquine) methotrexate, and biologic agents, i.e., enbrel, humira, etc. This approach is supported by long term clinical trials and radiographic evidence. ...Read moreSee 1 more doctor answer
Fairly quickly: This is a very fast growing disease which in most cases has already caused some damage before it is discovered. It is important to quickly stage the disease and then begin treatment. Your oncologist will know how much time can pass before you start treatment. Everyone is different in this respect and sometimes life's issues (graduations, weddings) can be worked around..And sometimes not. ...Read moreSee 1 more doctor answer
It depends: It can develop rapidly or slowly depending on the type. Since you are 41, if you have periodontal disease, it may be the aggressive form in the moderate to advanced stages, or the chronic form in the early stages. There is a lot of variability here. A comprehensive periodontal evaluation with proper radiographs should answer your question! ...Read moreSee 3 more doctor answers
Is secondary severe osteoporosis quicker to respond to treatment once part of the route cause has been stopped such as stopping meds?
To how much extent panic diorder is curable can you become symptom free after treatment if treated earlier?
Yes, panic disorder: is treatable and people get better. If a mental health professional is available, that is the person to see. Books and tapes can help, e.g., Claire Weekes "Hope and help for your nerves." Peace and good health. ...Read more
Thanks for asking!: Hypothalamic and pituitary disorders have low levels of gonadotropin and estrogen.Hgh has not been indicated for treatment of secondary amenorrhea. In cases of turner's syndrome where recombinent hgh along with estrogen is used as part of standard treatment but not for amenorrhea per say. ...Read moreSee 1 more doctor answer
With treated or untreated dental fluorosis. How effective are the treatment options for fluorosis?
Enamel fluorosis. : Enamel fluorosis can manifest itself as mild whitish spots, to more severe brown-yellowish pitting and staining of the teeth. The milder forms often times can be rubbed out via mild pastes that we apply to the teeth. Unforunately the more severe forms generally require a type of bonding or crown restoration. ...Read moreSee 3 more doctor answers
Can sleep apnea cause hypogonadism? How long for latter to resolve after former successfully treated?
Other way around ...: Sleep apnea and other forms of poor sleep don't directly cause hypogonadism, although obesity (linked to sleep apnea) is correlated w/low T b/c excess Estradiol (from obesity) leads to less Free T. That's why we often recommend exercise & weight loss to treat low T. OTOH, TRT can aggravate sleep apnea so sleep should be monitored if you have OSA or are at risk. ...Read more
Gemzar (gemcitabine) carbo chemotherapy can cause leg edema for how long it will last after treatment is finished?
Rare: It is not common, but if does it should resolve in few days after chemo i believe. ...Read more
Type 2 a few bucks: You must aggressively change your lifestyle. Mobile Health games can help. This platform is just a couple of dollars. walking 10k steps a day. Changing your behavior is HARD! Here is a health game that will help! Commit to tracking your nutrition and weighing in weekly. Losing just 10 pounds can reverse diabetic state. https://itunes.apple.com/us/app/personal-medicine+/id846379884 ...Read moreSee 1 more doctor answer
Yes: There are many medications to treat osteoporosis from nasal spray to pills (once/day, once/week, once/month) to injections (daily, every 3 months, every 6 months and yearly). Please talk to your doctor about the most appropriate treatment for you. Regardless of what you choose, it's important to maintain norrmal calcium and vitamin d level. Supplememt if necessary. ...Read moreSee 1 more doctor answer
Several options: First is weight bearing exercise, such as walking and/or using light weights, to stress and therefore build bones. Calcium and vitamin d supplements are recommended. Numerous medication options are available, including oral and parenteral bisphosphonates, anabolic agents, nasal calcitonin, etc. Drug holidays have been recommended for patients on bisphosphonates - talk to your physician. ...Read more
Good treatment.: There are numerous effective treatments for osteoporosis but a cure is seldom achieved if there is a major decrease in bone density. One drug stimulates new bone formation, teriparatide, and numerous drugs prevent bone loss, estrogen, raloxifene, alendronate, residronate, ibandronate, zoledronica acid, and denosumab. In some postmenopausal women calcium and vitamin d supplements are enough to pr. ...Read more
Osteoporosis: Currently it is better to think of osteoporosis as a condition that 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 or even yearly basis. ...Read more
Osteoporosis: Osteoporosis is not common in young women unless there is a specific condition that causes it. Surely if your doctor has ordered a bone density test she/he has put you on the proper medication. If you have not had a test, how do you know you have osteoporosis? Can you provide me with other details please. ...Read more
Endocrinologist: Emocrinologist.Get a more detailed answer ›
Vit D3, ?Ca+2 ?Meds: Bone basically cartilage hardened with ca+2 & po4-2 ions, called hydroxyapatite. Vitamin d3 essential for ca+2 absorption & getting it into bones. Check vitamin d3 level, if low supplement to 50 ng/ml range or > & supplement dietary ca+2 with dairy and/or supplements, citracal one of the best. Bone stress also important (just not enough to break), exercise, not low impact. Biphophanate med option. ...Read more
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 moreSee 1 more doctor answer
First identify what : The cause of bone loss is : secondary from thyroid disease, smoking, steroid use, renal disease, etc or primary osteoporosis . Treatment depends on cause but for primary treatment: adequate vitamin d &calcium intake, weight bearing exercise, stopping factors like smoking, & guided medication which are of several categories including Reclast (zoledronic acid) Prolia , Forteo as well as several new ones in pipeline. ...Read more
Varies: First, be sure you are getting enough calcium and vitamin d because no treatment will work if you do not have enough of these. After that, it depends on your general health and if you have ever received any treatment in the past. If you already have a 'collapsing spine', you would be best to see a specialist who is an endocrinologist or rheumatologist that treats osteoporosis for an expert opinion. ...Read more
Ck w/osteoporosis so: Transient migratory osteoporosis is a rare condition which can cause chronic pain and is associated with sudden loss of bone density usually in a hip. This is unlike ‘ordinary’ osteoporosis which is only painful when broken bones have occurred. Pain resolves eventually but sometimes reoccurs in another part of the body. Referral to a pain clinic may be necessary to help with the difficult pain. ...Read more
Depends: It depends on many factors / what the pt is taking and esp the general condition of the pt as well as of course genetics most osteoporosis rx is directed to lowering the bine loss rate as opposed to building it up the only one that has sig "build up " potential is Forteo also need to optimize vit d level and use calcium supplement the best would be calcium citrate at ~ 600 mg 2 x/ day.Also exerc. ...Read more
"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 moreSee 1 more doctor answer
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