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Old 12-28-2007, 01:44 PM   #1
alice52
Junior Member
(female)
 
Join Date: Sep 2007
Location: phoenix arizona usa
Posts: 25
Osteopeni dx questions

I was diagnosed with osteopeni many months ago and given a rx for
fosamax. I was informed that its sorta like osteoperosis but not as bad.
First off the fosamax was very expensive even with my insurance and
why can't I just take regular calcium I find in the vitamin counter.
And what exactly is osteopeni and what can happen with this disease.
I am 55 and did have some problems with my thyroid for awhile (2 years
ago) overactive, some nodules (not goiter) hashimotos and I was just
told if it got bad they could kill my thyroid and put me on synthroid.
I haven't been back since but I'm wondering about the osteopeni now.
Does it have any connection to my thyroid issue? Even with insurance
medical treatment is expensive and I just don't know whats worth worrying
about or whats not a big deal.
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Old 12-28-2007, 06:26 PM   #2
phylwill1152
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Join Date: Jul 2006
Location: Havana, IL, USA
Posts: 687
Re: Osteopeni dx questions

Hi Alice...welcome to the board. I too have thryroid issues, Graves disease (hyperthyroidism). well, I was hyper, but had my thyroid albated (killed off) with radioactive idoine in 2003. I am now on total thryroid replacement and feel just fine. So i have an idea of where you are coming from on that. Thyroid problems both hyper and hypo can be hard on the bones. both too much thryroid and not enough can leach calcium from the bones. Your dr. said you have osteopenia...which is like a precusor to osteoporosis.... ostoepenia are the scores between normal desnity and ostoeporosis. You still have time to improve your bone density without taking the costly medications. Try calcium, D3, and magnesium supplements, a good multivitamin ,weight bearing exercises, eating a diet in both dairy and non dairy calcium sources and stay active. Personally, with osteopenia i would wait and try making improvements before to take the meds. take care..phyllis
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Old 12-28-2007, 07:13 PM   #3
alice52
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Join Date: Sep 2007
Location: phoenix arizona usa
Posts: 25
Re: Osteopeni dx questions

thank you for that explanation, I do take calcium/magnesium but I will
see about getting some D3, and also monitor my dairy and non dairy
source. I do alot of walking and recently started some mild hiking and
then will expand that to not so mild hiking. I also take multi vitamins.
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Old 12-28-2007, 07:23 PM   #4
Aleta145
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Join Date: Sep 2004
Location: Southern California
Posts: 226
Re: Osteopeni dx questions

Hi Alice,

I agree with Phyllis's post above. Just wanted to add my two cents, for what it's worth. You didn't say whether your diagnosis of osteopenia was for your spine, your hip, or both. My osteoporosis is at the spine, so I'll just talk about that for now.

Here's a short course on what the numbers mean. Although they measure the densities of four lumbar vertebrae, your official T-score will be the worst one of the four. Assuming 0 is normal bone mass, then -1 is one standard deviation (SD) below normal, -2 is two SDs below normal, etc. Ostepenia is considered anything between -1 and -2.5. Anything under -2.5 is considered osteoporosis. Osteopenia is, as Phyllis said, the precurser to osteoporosis. But just as something pre-cancerous doesn't mean it will become cancer, neither will osteopenia necessarily become osteoporosis. If I were you, I would consider it a wake-up call, to let you know that it's something to watch. It doesn't even mean you're at higher risk for low-trauma fractures, which is ultimately what we fear, right?

My first T-score was -3.0, and I opted not to take Fosamax. Instead, I've been taking Evista, and have improved my BMD to -2.7 in the three years I've been taking it. (I'm 52.)
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Old 01-05-2008, 11:51 AM   #5
bride527
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Join Date: May 2001
Posts: 388
Re: Osteopeni dx questions

I am 55 and had my first bone density test about three years ago. My dr. said i had ostopenia in my left hip. I can't remember my T scores , but i have it written down somewhere. Anyway, she prescribed Fosamax and after researching it i decided i didn't want to take it. I told my dr. that i stopped it after a couple of months and she said that was fine. I am having another density test next week is there a chance my osteopenia will have turned to ostoporsis since my last exam?? I am also on thyroid med for hypothyroidism and i have nodules on my thyroid (if that matters). I work out and lift weights and eat a very healthy diet. Should i forget about the meds no matter what my number are. Any advice? thank you bride527
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