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1 Feb 21, 06:19 PM |
#11
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Thread Starter
Apprentice Imagineer
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2012-Vegas/GCNP/Death Valley/Yosemite/SF 2013 - Nevada/Arizona/Utah and California 2014-Texas/Oklahoma/Arkansas/Memphis/New Orleans 2015- Florida/Carolinas/Tennessee 2016-Sth Dakota Yellowstone/Wyoming 2017- Canada Rockies 2018 HK/OZ/Singapore |
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2 Feb 21, 09:05 PM |
#12
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Imagineer
Join Date: Apr 09
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2 Feb 21, 09:32 PM |
#13
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slightly serious Dibber
Join Date: Aug 17
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Maximum benefit of HRT for hot flushes etc. can be greatest in first few years post menopause but it's worth considering for bone health up to age 60ish. Would generally consider HRT before bisphosphonates for osteoporosis age under 60
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14 Nov 21, 09:21 AM |
#14
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Thread Starter
Apprentice Imagineer
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That is absolutely not true. In the first 8-9 years after menopause it works best. It protects heart and bones. I was prescribed it and hope to stay on a low dose for many years. Thankfully there has been a recent study, which deals with the safety of HRT.
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2012-Vegas/GCNP/Death Valley/Yosemite/SF 2013 - Nevada/Arizona/Utah and California 2014-Texas/Oklahoma/Arkansas/Memphis/New Orleans 2015- Florida/Carolinas/Tennessee 2016-Sth Dakota Yellowstone/Wyoming 2017- Canada Rockies 2018 HK/OZ/Singapore |
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14 Nov 21, 11:31 AM |
#15
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slightly serious Dibber
Join Date: Aug 17
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For those wanting to educate themselves more about osteoporosis and fragility fractures, there is a really good monthly podcast called "Bone Up". It's aimed towards the medical community but puts everything in plain language that is easy for the majority of people to follow
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14 Nov 21, 11:41 AM |
#16
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Thread Starter
Apprentice Imagineer
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2012-Vegas/GCNP/Death Valley/Yosemite/SF 2013 - Nevada/Arizona/Utah and California 2014-Texas/Oklahoma/Arkansas/Memphis/New Orleans 2015- Florida/Carolinas/Tennessee 2016-Sth Dakota Yellowstone/Wyoming 2017- Canada Rockies 2018 HK/OZ/Singapore |
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14 Nov 21, 12:02 PM |
#17
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Imagineer
Join Date: Apr 15
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Hi, I work in a speciality that commonly deals with osteoporosis. For uncomplicated i.e post-menopausal osteoporosis occuring at an appropriate age, you don't need to see a specialist, and most osteoporosis is managed perfectly well by GPs. We would generally recommend that you have screening bloods for any other problems that might be contributing to osteoporosis e.g. thyroid problems etc.
Walking is really excellent exercise for osteoporosis - basically load bearing exercise is good, so swimming, while great for many things (muscles/hearts/lungs etc), isn't as good for osteoporosis as a good walk. If you smoke, you should try to stop, and ensure that you only drink within recommended levels of alcohol. Dairy products in the diet are important - low fat milk/yoghurts etc contain calcium as well if you are watching your fat intake. Unfortunately, the back pain is not due to your osteoporosis, unless you have broken a bone there - osteoporosis is known as the "silent disease" because it does not cause symptoms until you break a bone. In the absence of a broken bone the back pain is just a coincidence as caused by wear and tear - but maintaining a healthy lifestyle can help with that too. Sudden worsening of back pain however, is one of the few times where it is appropriate to do an Xray of your spine to check for fractures in someone with osteoporosis. The Royal osteoporosis society that someone linked to above is an excellent, reliable and accurate source of information/support. Regarding the jaw problems with bisphosphonates, we recommend that if you have any dental work such as extractions planned, that you do this before starting (normal hygiene work such as scale + polish is ok). The complication is pretty rare - I've only ever seen one case during my training, and that was including 1 year in a metabolic bone clinic in a specialist centre. Ironically, the pt had never had bisphosphonates (there are many other risk factors for the complication including age, smoking, steroid use, poor dental hygiene etc), and it's far more commonly seen when these drugs are used in higher doses and intravenously - often for treating complications of cancer. Dentists are often very wary though, but I direct them to this document which can help them balance the risks of treatment.sdcep.uk/published-g...is-of-the-jaw/
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14 Nov 21, 12:16 PM |
#18
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slightly serious Dibber
Join Date: Aug 17
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14 Nov 21, 12:42 PM |
#19
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Imagineer
Join Date: Sep 08
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For up to date guidance and evidence on the menopause and HRT have a read here balance-menopause
Theres very very good advice on there about bone health reducing risk of dementia and heart disease with HRT. There's good evidence to stay on it for life with the correct factual up to date medical advice.
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14 Nov 21, 02:11 PM |
#20
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Thread Starter
Apprentice Imagineer
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I would also add that supplements need to be looked at (obviously it's always better to get from your diet) Vitamin D3, Magnesium and Vit K2 MK-7 (this directs the calcium to your bones and is even more important of you are taking the calcium prescribed by the GP)
DEXA scores are only a part when deciding whether to take bisphosphonates. If there is a discordance of more than 1 then it is probably incorrect due to operator error. It's a systemic condition so unless you are riddled with arthritis in a hip or had a stroke the scores for femur and spine should be similar. My GP should have questioned mine (-3.1 spine -1.6 hip). I decided to have a Osteoscan (REMS). No operator error can happen and it turns out I have osteopenia (the made up disease). I decided against bisphosphonates as your osteoclasts stop working so you are effectively putting new bone on old damaged brittle bone. Think building an extension on bad foundations. Bones stop being flexible. This makes for interesting reading nice.uk/guidance/ta4...t%20or%20 arm. I hear more and more doctors want to prescribe Denosumab before any other treatment and this is just wrong and very dangerous nice.uk/guidance/ta4...t%20or%20 arm.
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2012-Vegas/GCNP/Death Valley/Yosemite/SF 2013 - Nevada/Arizona/Utah and California 2014-Texas/Oklahoma/Arkansas/Memphis/New Orleans 2015- Florida/Carolinas/Tennessee 2016-Sth Dakota Yellowstone/Wyoming 2017- Canada Rockies 2018 HK/OZ/Singapore |
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