Osteoporosis & nasal sprays

Just a word of caution for those of you who might be using any prescripton allergy nasal spray
containing corticosteroids. I have recently been diagnosed with severe osteoporosis (BMD -30-35%).
While I have several known genetic risk factors the diagnosis is still shattering. I am very physically
active, on ERT, take calcium supplements, etc, etc. Three years ago, at age 57, my DEXA scan
was OK (less than 1/2 of 1% off SD). However, 3 years ago I began using a nasal spray to
manage allergy symptoms - the corticosteroid was minimal - but I think it acted as a catalyst to
accelerate my nosedive spiral into osteo. Run, don't walk, to your doctor and inquire if you think
you may be at risk. Insist on a DEXA scan, fight with you HMO if you have to, but get one -
or pay for the scan yourself if your health care provider is totally derelict. You owe it to yourself.