My two years on Forteo is nearing its end. I'd like to make an informed decision about which drug to take after Forteo to preserve the bone density I've gained. Reclast has been proposed by my physician. However, I've researched the impact of bisphophonates on bone quality so the idea of these medications scares me.
As a 27-year-old woman with amenorrhea and no previous fractures, I've toyed with the idea of not taking any follow-up drug outside of birth control (for estrogen) -- an effort to maintain bone quality with or without improved bone density. Too risky, some might say.
What have others taken as a follow-up drug to Forteo? Success? Side effects?
Your insights are much appreciated! ~megmo84View Thread
I suppose my confusion lies in my consumption of dietary components that leach calcium - caffeine, sodium, and phosphoric acid. Would I benefit from extra calcium - higher than the 1200 mg recommendation - to offset the potential adverse effects of these ingredients?View Thread
New research suggests calcium supplements are a danger to heart health. (See the link below.) A personal concern... I eat a calcium-rich diet, but take 600-900 mg calcium carbonate + vitamin D to counteract my not-so-healthy choices (salty foods, caffeine, phosphoric acid).
Given my consumption of these "calcium-leachers", do calcium supplements still pose a threat?
Thank you Dr. Nieves. Knowing that the calcium-phosphorus ratio is important, I take a calcium supplement whenever I drink a cola -- similar to a "phosphate binder" used for kidney patients. Is there merit to this approach?View Thread
Phosphoric acid is a recognized threat to bone health. That said, does phosphoric acid have a different impact on bone than the phosphorus naturally present in dairy, meats, and other foods?View Thread
Estrogen deficiency is a well known contributor to osteoporosis. Does a lack of estrogen inhibit calcium absorption? Or, does it hinder bone formation and accelerate bone resorption? I'm trying to understand the mechanism of action.
Thanks for your feedback, Bonebabe. I searched for the original study to assess these variables without success. Perhaps the estrogen dosage (~15 mg I believe) was lower than what their bodies would've produced naturally. Also, these women were probably not amenorrheic as I am.
Looking forward to hearing from your medical director.View Thread