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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Osteoporosis, Taken Calcium Supplements, Vitamin D. Suggestions?

I was told yesterday that I have osteopenia and am ALMOST at osteoporosis. I excercise daily, have taken calcium supplements w/ vit D daily and NO family history of osteoporosis. Will I be able tyo REBUILD the bone already lost ( last dexascan was 2007 ) I was told my lower spin " didn't look good. I think they tiold me it was a negative 2.2 ???
I am very upset with this news as I have always been very athletic and try to take care of myself. I am 60 years old but pass for 50 with " good living ". I was told taking 10,000 units of vit D might help calcium uptake ??? What do you suggest ???
Wed, 16 Oct 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Your Dexascan result of -2.2 indicates OSTEOPENIA and score more then -2.5 indicates Osteoporosis, so you are on the borderline towards osteoporosis.

The management of osteoporosis falls into 3 categories -

- Life style modifications - One should discontinue Smoking and Alcohol consumption as both the habits are injurious to bone health. Regular aerobic exercises in the form of brisk walking in very much helpful.

- Nutritional intervention - Daily regular supplementation of both Calcium and Vitamin D based on the required dosages.

- Pharmacologic therapies - There are numerous agents presently available that are useful in the treatment of Osteoporosis which includes (1) bisphosphonates, (2) selective estrogen response modulators, (3) calcitonin, and (4) teriparatide (parathyroid hormone (PTH). Hormone replacement therapy (HRT) remains effective in the prevention of bone loss in postmenopausal women. One of these agents has to be used as indicated.

Hope this information is helpful. Good day
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Osteoporosis, Taken Calcium Supplements, Vitamin D. Suggestions?

Hi, thanks for writing to HCM. Your Dexascan result of -2.2 indicates OSTEOPENIA and score more then -2.5 indicates Osteoporosis, so you are on the borderline towards osteoporosis. The management of osteoporosis falls into 3 categories - - Life style modifications - One should discontinue Smoking and Alcohol consumption as both the habits are injurious to bone health. Regular aerobic exercises in the form of brisk walking in very much helpful. - Nutritional intervention - Daily regular supplementation of both Calcium and Vitamin D based on the required dosages. - Pharmacologic therapies - There are numerous agents presently available that are useful in the treatment of Osteoporosis which includes (1) bisphosphonates, (2) selective estrogen response modulators, (3) calcitonin, and (4) teriparatide (parathyroid hormone (PTH). Hormone replacement therapy (HRT) remains effective in the prevention of bone loss in postmenopausal women. One of these agents has to be used as indicated. Hope this information is helpful. Good day