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Old 11-28-2010, 09:56 PM   #1
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25 yo male, just diagnosed with osteoporosis

I'm a 25 year old male. I was just diagnosed with osteoporosis by my gastroenterologist, based on DXA. I'm interested to hear people's take on this situation.

My T-scores:
- Lumbar spine: -2.7
- Hip: -0.8
- Forearm: 0.3

Relevant medical info:
- My sister was diagnosed with osteopenia/osteoporosis when she was 15.
- My parathyroid hormone was high: 64 pg/ml (reference range is 8-51)
- My "calcium for PTH" was normal: 9.3 mg/dl (reference range is 8.7-10.0)
- My serum copper was low: 60 ug/dl (reference range is 70 to 140).
- I was seeing this doctor to get a diagnosis for my adverse reaction to gluten (my sister has it as well). The doctor I saw is an authority on celiac disease, but he was unable to tell me whether I have celiac, because my test results are mixed. Celiac disease is known to cause reduced bone density through calcium malabsorption.

The doctor diagnosed me with osteoporosis and secondary hyperparathyroidism due to calcium deficiency. He prescribed Citracal (calcium citrate, vitamin D, and copper).

My questions for folks here:
- Does this sound like a reasonable diagnosis/treatment plan?
- In a couple of months I'm going to see a nephrologist who is an expert on osteoporosis and hyperparathyroidism. Is there anything I should consider doing before then?
- Earlier this year I got an x-ray from a rheumatologist, who noticed restricted spine motion and abnormality of the sacroiliac joints. He suspected spondylitis. Does this sound like a separate problem entirely?

Thanks!

Last edited by ChrisG2; 11-28-2010 at 10:06 PM.

 
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Old 11-28-2010, 11:27 PM   #2
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Re: 25 yo male, just diagnosed with osteoporosis

A daily multi ( like centrum ) would be a good idea, as celiacs can cause poor uptake of many different nutrients.
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