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Old 01-19-2024, 10:21 AM
 
Location: Southern MN
12,040 posts, read 8,411,860 times
Reputation: 44797

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I had a scan after a period of thyroid tumors in the 80s. Have had a couple scans since.

I think it's good to have an understanding of what my bone density is and to be aware of potential problems.

Also a strong proponent of informed decisions about my heath and I believe there are several methods to address problems. Unless a doctor could convince me that I am unable to provide adequate vitamins through diet I can take care of that myself if I have the information whether it's doing a good job or not.

It never hurts to consider a team approach to taking care of yourself.
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Old 01-29-2024, 06:51 PM
 
Location: clown world
547 posts, read 327,948 times
Reputation: 863
the likely cause of osteo



https://hms.harvard.edu/news/gut-mic...keletal-health


The Gut Microbiome’s Role in Skeletal Health

Scientists identify gut bacteria linked to bone density, strength
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Old 01-29-2024, 07:17 PM
 
1,433 posts, read 664,519 times
Reputation: 2639
I have had two scans and osteoporosis has progressed from a few years ago.
I am not taking medication for it either. I may as I get older if my balance gets bad.
I do some exercises for improving balance , jump rope for impact, a lot of walking.
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Old 01-29-2024, 07:51 PM
 
Location: Living rent free in your head
42,845 posts, read 26,259,081 times
Reputation: 34056
I had a bone scan about 6 months ago, they said it wasn't horrible for my age but that I should take a drug for it, I refused- I have a friend who was taking Fosamax. She had to have a tooth implanted and when she did, her jaw basically fell apart, they call it necrosis. It was just horrible I will take a chance on a broken leg before I will take on that risk
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Old 01-30-2024, 05:26 AM
 
Location: Fort Payne Alabama
2,558 posts, read 2,902,918 times
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My wife has Osteoporosis, she broke a finger just putting her pants on. Later we found one of her disks had collapsed. Our doctor put her on Prolia (shot every months) Recent bone scans have shown her bone density has actually improved.
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Old 01-30-2024, 07:35 AM
 
9,853 posts, read 7,724,981 times
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Quote:
Originally Posted by GreggT View Post
My wife has Osteoporosis, she broke a finger just putting her pants on. Later we found one of her disks had collapsed. Our doctor put her on Prolia (shot every months) Recent bone scans have shown her bone density has actually improved.
That's good to hear. I'd consider Prolia before Fosamax.
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Old 01-30-2024, 07:40 AM
 
Location: Fort Payne Alabama
2,558 posts, read 2,902,918 times
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Well I can say Prolia actually works. Expensive but that is one drug I would actually pay the inflated price for!
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Old 01-30-2024, 09:28 AM
 
Location: The Driftless Area, WI
7,251 posts, read 5,123,089 times
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Define "effectiveness?"....If a certain disease kills 75 of every 100 victims, and we find a new pill that reduces that to 50 of 100, then it is 33% effective (edit- I should say "improvement') and we need to treat 100 pts to save 25 lives...

...but what about a disease that kills only 2 of every 100 pts and our new pill reduces that to 1 in 100-- it's 50% effective, but we have to treat 100 pts to save just one life.

Is the first drug less effective than the 2nd because it's 33% vs 50% improvement? Of course not. It's the Needed to Treat Number (NTT 4 vs 100) that really counts.

Numbers for bisphosphonates given for osteoporosis-- among people bad enough to qualify for treatment: https://www.uptodate.com/contents/bi...f-osteoporosis

-for vertebral fx- 1.4% with pills vs 3.4% no pills --a 2% improvement with treatment vs no treatment (NTT 50) over 5 yrs (ie- improved by 0.4%/yr)

-for other fx- 7.3% vs 9.3% (NTT 50)

-after a hip is fractured-- treatment improves risk of a second fx hip from 1.3% to 0.3% (NTT 100)

The problem with evaluating treatment for osteoporosis is that the end points (fractures) are not all that common, so there can't be that much improvement.

Yes, bisphosphonates do "improve" the numbers on a bone scan, but they are dumping mineral into the bones in the wrong spots, so clinical outcomes don't improve as much as the bone scan results.

We should say that taking or rejecting this treatment should be a personal decision without a clearly black & white answer.
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Old 01-30-2024, 09:52 AM
 
Location: Fort Payne Alabama
2,558 posts, read 2,902,918 times
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Quote:
Originally Posted by guidoLaMoto View Post
Define "effectiveness?"....If a certain disease kills 75 of every 100 victims, and we find a new pill that reduces that to 50 of 100, the
Yes, bisphosphonates do "improve" the numbers on a bone scan, but they are dumping mineral into the bones in the wrong spots, so clinical outcomes don't improve as much as the bone scan results.

We should say that taking or rejecting this treatment should be a personal decision without a clearly black & white answer.

Do you have a study showing that that Prolia is "dumping mineral into the bones in the wrong spots"?
All I can say is my wife's bones scan results have improved and she has not experienced any further fractures.
Taking or rejecting ANY treatment is aways a personal decision!
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Old 01-30-2024, 10:28 AM
 
Location: Southeast
1,867 posts, read 881,736 times
Reputation: 5305
I just had a bone scan two weeks ago, and it came back as my hips were thinning. My doctor prescribed Boniva (ibandronate). I picked it up but haven't taken it yet.
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