Notices
General Chat This forum is for general topics and chat type threads.

Reply
 
Thread Tools Search this Thread Display Modes
Old 1 Feb 21, 06:19 PM  
Link to this Post
#11
stockport1965
Thread Starter
Apprentice Imagineer
 
stockport1965's Avatar
 
Join Date: Jan 12
Originally Posted by bonnies mum View Post
For a different reason (ongoing flushes & sleep problems) I asked about starting HRT but my GP said that by that time I was more than 2-3 yrs post menopause I would not get any benefit from taking it as there was a very short window to do so.
Hope you manage to get some good support & advice soon.
From what I have been reading, it is 10 years
__________________
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
stockport1965 is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 2 Feb 21, 09:05 PM  
Link to this Post
#12
bonnies mum
Imagineer
 
Join Date: Apr 09
Originally Posted by stockport1965 View Post
From what I have been reading, it is 10 years
That’s interesting - I no longer go to that particular GP as she has often been pretty snotty and far from supportive. Seems like another example of her superior attitude.
bonnies mum is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 2 Feb 21, 09:32 PM  
Link to this Post
#13
Island mamma
slightly serious Dibber
 
Join Date: Aug 17
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
Island mamma is offline Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 09:21 AM  
Link to this Post
#14
stockport1965
Thread Starter
Apprentice Imagineer
 
stockport1965's Avatar
 
Join Date: Jan 12
Originally Posted by bonnies mum View Post
For a different reason (ongoing flushes & sleep problems) I asked about starting HRT but my GP said that by that time I was more than 2-3 yrs post menopause I would not get any benefit from taking it as there was a very short window to do so.
Hope you manage to get some good support & advice soon.
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.
__________________
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
stockport1965 is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 11:31 AM  
Link to this Post
#15
Island mamma
slightly serious Dibber
 
Join Date: Aug 17
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
Island mamma is offline Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 11:41 AM  
Link to this Post
#16
stockport1965
Thread Starter
Apprentice Imagineer
 
stockport1965's Avatar
 
Join Date: Jan 12
Originally Posted by Island mamma View Post
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
Thanks!
__________________
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
stockport1965 is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 12:02 PM  
Link to this Post
#17
returnplanning
Imagineer
 
Join Date: Apr 15
Originally Posted by stockport1965 View Post
I have recently been diagnosed with Osteoporosis after a DEXA scan.

I went through the menopause at 43 and it was not suggested that I take HRT. (Mother had Osteo also)

I briefly had a chat with GP via the telephone - do not have a consultant - should I ? She mentioned the medication bisphosphonates. Has anyone taken? Did you get the side affects (esophagus or jaw). I was told that I could not take them for more than 3 years because of the side affects.

Should I be seeking out a menopause specialist to see if HRT would be good for me now?

I walk 10k plus steps a day and have started doing exercises to build muscle strength. Calcium & Vit D supplement as well as changing diet to include a bit more too.

I work as a cleaner which also doesn't help with the back pain!
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/
__________________
Just keep planning, just keep planning...what do we do, we plan, plan, plan!
returnplanning is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 12:16 PM  
Link to this Post
#18
Island mamma
slightly serious Dibber
 
Join Date: Aug 17
Originally Posted by returnplanning View Post
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/
I also work in osteoporosis as a specialty and would echo all of the above
Island mamma is offline Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 12:42 PM  
Link to this Post
#19
soooexcited!
Imagineer
 
Join Date: Sep 08

soooexcited!'s Reviews
Restaurant Reviews: 5
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.
__________________
Calabay Parc Nov 08 Crowne Plaza New York 2009 Orange Tree Nov 2010 DLP Aug 2011
soooexcited! is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Old 14 Nov 21, 02:11 PM  
Link to this Post
#20
stockport1965
Thread Starter
Apprentice Imagineer
 
stockport1965's Avatar
 
Join Date: Jan 12
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.
__________________
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
stockport1965 is offline Girl Mouse Click to view Members Trip Plans Add Member to Ignore List
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Forum Jump


All times are GMT +1. The time now is 09:39 AM.


Powered by vBulletin - Copyright © 2000 - 2024, Jelsoft Enterprises Ltd.
DIBB Savings
AttractionTickets.com

Get £10 off each Disney Ticket with the code ATDIBB10

Get up to £50 off per room at Disney or Universal with the code DIBBHOTELS


theDIBB Blog
One of the the five worlds found in Epic Universe, How to Train Your Dragon... Read More »
Disney announced that a new nighttime show, “Disney Dreams That Soar,” will run nightly at... Read More »
Walt Disney World Resort guests can get ready to have a “glowing’’ good time when... Read More »


theDIBB Menu


Exchange Rates
US Dollar Rates
ASDA  $1.2354
CaxtonFX  $1.2305
Covent Garden FX  $1.2543
FAIRFX  $1.2350
John Lewis  $1.2398
M&S  $1.2191
Sainsburys  $1.2354
TESCO  $1.2364
Travelex  $1.2361
Updated: 08:30 29/03/2024
Euro Rates
ASDA  €1.1447
CaxtonFX  €1.1423
Covent Garden FX  €1.1531
FAIRFX  €1.1432
John Lewis  €1.1477
M&S  €1.1289
Sainsburys  €1.1440
TESCO  €1.1445
Travelex  €1.1469
Updated: 08:30 29/03/2024

DIBB Premium Membership
Did you know you can help support theDIBB with Premium Membership?

Check out this link for more information and benefits, such as...

"No adverts on theDIBB Forums"

Upgrade Now



X