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Thanks for contacting with your health concern
1. Prolia [denosumab] is a human monoclonal antibody for the treatment of osteoporosis and
giant cell tumor of the bone and contraindicated in people with low blood calcium [check with the calcium values]
2. since it can cause
severe pain in joints/bones [and you have the history of
osteoarthritis which is regulated] thus can flare up the condition, but since it is given only once 6 months I don't think it will be of much concern, however, talk to your attending Physician regarding the same.
PS. also with prolia, dental hygiene is a must [as
osteonecrosis of jaw] is common, so regular dental checkup is advisable.
3. So if interested in using prolia be under the regular supervision of your attending physician since he/she will be in better position to alleviate the symptoms when arisen.
4. I at most can let you know about the preventive aspect of Osteoporosis:
i. going by your age [61], the condition fits under Primary Osteoporosis: Post Menopausal [Type I] and progressing to Senile [Type II]
ii. Preventive Aspect:
. Calcium intake; 1.0-1.5 g per day [banana, grapes,coriander, raisins, milk, green vegetables, lemon,mint,papaya,amla,guava, pineapple,turnip, tomato, apple,orange.
. Moderate Vitamin D intake: 400-800 IU per day or
calcitriol 0.25~g/day
[ carot, beetroot,spianch,radish,mint,amalaki rasayan,soyabean,cucumber, cabbage,vitamin D fortified: pineapple/yogurt/milk/dry mushroom/banana/ cod liver oil/sunshine.
. Periodic assessment of skeletal status and bone mineral.
. Single Drug which is extremely helpful and beneficial in
postmenopausal osteoporosis is 'Shatavari' which can be explained with the help of its active chemical constituent- Steroidal Saponins which are Phytoestrogens. Phytoestrogens act as SERM's [selective estrogen receptors modulators] and stimulate osteoblastosis and suppress osteoclastosis and thus help in preventing bone loss.
PS. In modern medicine they also have SERM's [
raloxifene, idoxifene, tamoxifene], the action is similar as described.