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Old 12-19-2007, 07:40 AM   #1
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ram42953 HB User
strontium

My Dr. wants me to go on hormones or take the drug Forteo. I'm not comfotable with either option. Both scare me, one for the side effects and the other for the cost and side effects. I have been reading such good things about Strontium, but I'm confused with which is better, the RX Strotium ranelate or OTC Strontium Bonemaker. The RX version you can only by in the UK, if you can find a place to buy it (I have not found a place) The OTC you can buy online. Can I continue to take my Actonel with the Strotium? Are people really seeing their bone density numbers improve? I am 55 yrs young, good health and shape. My spine is ok, it is in my hips where I am at risk for fracture. I am freaking out about this, not knowing what to do. Can anyone help me?

 
Old 12-19-2007, 03:10 PM   #2
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phylwill1152 HB Userphylwill1152 HB Userphylwill1152 HB Userphylwill1152 HB Userphylwill1152 HB Userphylwill1152 HB User
Re: strontium

Hi ram, welcome to the board . The RX Strontium Renalate (Protelos) isn't available in the US. It hasn't been FDA approved for use here and i really don't know if it ever will. It's the strontium in it that is the active ingredient, the renalate is a salt they added so it could get patentened. The OTC strontium that i take is strontium citrate ( NSI Strontium) and your right its ordered online. I haven't found any stores where it could be bought OTC. I've been taking it for over a year and did show improvements in total hip and lumbar spine T-scores, with no side effects. I'm not sure about taking it along with actenol, but some of the others may know that.

Do you know what your t-scores are for your hips? Since you've just been DX, its time to educate yourself about your options and how you want to treat it. The Myth of Osteoporsis by Gillian Sanson gives a different perspective about osteo aned will help alleviate a lot of the fear you are feeling now. I found it very helpful when iwas first DX. Are you doing weight bearing exercises? weight training? Eating both dairy calcium and non dairy calcium sources? taking supplements? Lastly don't make your self crazy over this, you are still the same person you were before the dx and can still do all the things you enjoy doing. Like everything else it takes time to adjust to new events in our lives. Give yourself that time and don't let it get you down and when it does go for a walk..its good for your bones There are several other threads about strontium here that you can read, if you already haven't. take care..phyllis

 
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Old 12-19-2007, 03:19 PM   #3
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Re: strontium

Hi "ram"... While I know nothing about strontium and can't address most of your questions at all, I just wanted to comment on your reference to homones as an alternative. For my "mild" osteopenia my physician suggested a bisphosphonate drug, but instead I'm now using bio-identical hormones (natural progesterone, estrogen, and testosterone). These are not synthetic hormones (i.e. drugs similar to human hormones, such as Premarin) but hormones identical in molecular structure to human hormones. My ob/gyn (like many physicians) was not really aware of bio-indentical hormones and said "a hormone is a hormone," but from extensive reading I'd say that's not the case. Having adequate levels of testosterone, progesterone, and estrogen (as most women do at younger ages) protects/builds bone, but by menopause (I'm 55 too) of course our hormone levels drop -- hormones can be replaced, but it's helpful to work with a physician knowledgable about bio-identical hormones (the closest one I could find is 2 hours away) as well as with a compounding pharmacy. I'm not suggesting this in place of strontium since I don't know about it (others here do, I know), but I just wanted to comment on the common misconception that "a hormone is a hormone" and that therefore bio-identical ones are just as likely to cause adverse side effects like cancer. If interested in this option, you might want to check out "Natural Hormone Balance for Women" by ob/gyn Uzzi Reiss.

 
Old 12-20-2007, 05:56 AM   #4
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Re: strontium

Thanks so much for responding. I have decided to go to an Osteoporosis specialist. My regular GP Dr. means well, but his options for me are just unacceptable. This Forteo drug cost $15,000.00 for two yrs of treatment, which is all the longer you can be on it. It's suppose to increase your bone density, but you're taking Strontium and getting the same thing for a fraction of the cost. I'm a little concerned about taking it without a Dr. knowing my situation. Did your Dr. recommend it to you or did you just discover it on your own? I do not know my T-score, but I am going to get it. I didn't just get diagnosed. I've been on Actonel for 4 yrs, but my last bone density showed a decrease that he didn't want to see. I will get that book. I believe you HAVE to be proactive in your health care. Sounds like something I could really get alot of good out of. I do exercise, but I am going to do a whole lot more. I have stepped up my calcium intake with dairy and supplements. Its time to get serious about this. I feel too good to be old.
You are so kind, thanks again Becki



Quote:
Originally Posted by phylwill1152 View Post
Hi ram, welcome to the board . The RX Strontium Renalate (Protelos) isn't available in the US. It hasn't been FDA approved for use here and i really don't know if it ever will. It's the strontium in it that is the active ingredient, the renalate is a salt they added so it could get patentened. The OTC strontium that i take is strontium citrate ( NSI Strontium) and your right its ordered online. I haven't found any stores where it could be bought OTC. I've been taking it for over a year and did show improvements in total hip and lumbar spine T-scores, with no side effects. I'm not sure about taking it along with actenol, but some of the others may know that.

Do you know what your t-scores are for your hips? Since you've just been DX, its time to educate yourself about your options and how you want to treat it. The Myth of Osteoporsis by Gillian Sanson gives a different perspective about osteo aned will help alleviate a lot of the fear you are feeling now. I found it very helpful when iwas first DX. Are you doing weight bearing exercises? weight training? Eating both dairy calcium and non dairy calcium sources? taking supplements? Lastly don't make your self crazy over this, you are still the same person you were before the dx and can still do all the things you enjoy doing. Like everything else it takes time to adjust to new events in our lives. Give yourself that time and don't let it get you down and when it does go for a walk..its good for your bones There are several other threads about strontium here that you can read, if you already haven't. take care..phyllis

 
Old 12-20-2007, 06:06 AM   #5
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ram42953 HB User
Re: strontium

Thanks for responding. I never dreamed I'd get such good information from such kind people. I have decided to go to an Osteoporosis specialist. My GP Dr. just doesn't have the answers to my questions and his choice of treatment for me is just unacceptable. Are you saying the bioidentical hormones are safer? When I get my appointment to see the specialist, I will definitely ask him about them. Everything that I have read about Strontium sounds so good. I hope the Osteo Specialist thinks so too. Thanks again Becki






Quote:
Originally Posted by deanana View Post
Hi "ram"... While I know nothing about strontium and can't address most of your questions at all, I just wanted to comment on your reference to homones as an alternative. For my "mild" osteopenia my physician suggested a bisphosphonate drug, but instead I'm now using bio-identical hormones (natural progesterone, estrogen, and testosterone). These are not synthetic hormones (i.e. drugs similar to human hormones, such as Premarin) but hormones identical in molecular structure to human hormones. My ob/gyn (like many physicians) was not really aware of bio-indentical hormones and said "a hormone is a hormone," but from extensive reading I'd say that's not the case. Having adequate levels of testosterone, progesterone, and estrogen (as most women do at younger ages) protects/builds bone, but by menopause (I'm 55 too) of course our hormone levels drop -- hormones can be replaced, but it's helpful to work with a physician knowledgable about bio-identical hormones (the closest one I could find is 2 hours away) as well as with a compounding pharmacy. I'm not suggesting this in place of strontium since I don't know about it (others here do, I know), but I just wanted to comment on the common misconception that "a hormone is a hormone" and that therefore bio-identical ones are just as likely to cause adverse side effects like cancer. If interested in this option, you might want to check out "Natural Hormone Balance for Women" by ob/gyn Uzzi Reiss.

 
Old 12-21-2007, 02:53 PM   #6
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deanana HB User
Re: strontium/bio-identical hormones

Quote:
Originally Posted by ram42953 View Post
Thanks for responding. I never dreamed I'd get such good information from such kind people. I have decided to go to an Osteoporosis specialist. My GP Dr. just doesn't have the answers to my questions and his choice of treatment for me is just unacceptable. Are you saying the bioidentical hormones are safer? When I get my appointment to see the specialist, I will definitely ask him about them. Everything that I have read about Strontium sounds so good. I hope the Osteo Specialist thinks so too. Thanks again Becki

Hi again, Becki.... To answer your question about bio-identical hormones, all I can say is that from most of what I've read, many feel that they are better than synthetic hormones if only because they are identical in molecular structure to our own. Unlike synthetic hormones, they cannot be patented, so not much research has been done. Reiss' book only briefly addresses use of natural progesterone to (re)build bone but goes into detail about the overall benefits of natural hormones based on years of clinical experience. You may also want to look online at the info on bio-identical hormones and bone strength by ob/gyn Marcelle Pick. For actual osteoporosis I'm not sure if natural progesterone would suffice, but for lesser degrees of bone loss it does seem effective. Maybe it could be used with strontium? I've read so much "bad news" about bisphosphonates (Actonel, etc.) that (contrary to my one doctor's recommendation) I would not consider them for osteopenia, though for osteoporosis they may be fine. There's a website developed by a specialist in bone physiology (I think the name is Ott, though I don't quite recall -- I think I found it via this board) that allows you to calculate fracture risk relative to drug pros/cons. But it seems that many specialists (maybe in osteoporosis as well as in endocrinology and gynecology) promote the "big pharma" drugs and are not much informed about (and very skeptical of) alternatives. I'm happy with my decision to work with a physician specializing in bio-identical hormones to address the osteopenia as well as other menopausal "developments." Hope you too can locate a physician and treatment that makes sense to you!

 
Old 12-21-2007, 03:49 PM   #7
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Re: strontium

Hi All: I'm considering switching to bio identicals, and wondered does your insurance pay for it? Mine doesn't but then they don't cover estrogen/proges either. I have a compounding pharmacy nearby and they told me that I may get the insurance to pay if the dr sends in a "prior authorization" so I'm going to look into that. The pharmacist loaned me a book on womens health and hormones, and there is a large section on bio iden. in it, if you're interested the name of it is "Awakening Athena" by Dr. Kenna Stephenson 2004. She is also involved in some clinical trials on this as well at the Univ of Texas Health Center, and the Health, Heart, and Mind Institute. The book also covers many other issues in regards to women health like osteo, stress, gender specific care etc.

Becki don't be surprised if your dr isn't all that familiar with Strontium, and also don't let that deter you from taking it either. Here's a source you can find at the library:

"The Effects of Strontium Ranelate on the Risk of Vertebral Fracture in Women with Postmenopausal Osteoporosis."

N Engl J Med. 2004 Jan 29;350(5):459-68.
Meunier PJ, Roux C, Seeman E, Ortolani S, Badurski JE, Spector TD, Cannata J,Balogh A, Lemmel EM, Pors-Nielsen S, Rizzoli R, Genant HK, Reginster JY.

Good Luck with all this I hope you get great results. Also I didn't have any trouble finding a dr that would rx bio iden, and I live in a small town, I just didn't go with them yet until I can find out how much I'll have to pay; just look for a compounding pharmacy and they can tell you what gynos rx them.

Below is the FX calculator from the University of WA

[url]http://courses.washington.edu/bonephys/FxRiskCalculator.html[/url]

However it doesn't let you compare fracture risk to different meds other than those that cause osteo like steriods and how that med can raise your risk.

Last edited by DesertBloom; 12-21-2007 at 06:09 PM.

 
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