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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Osteopenia In Elderly?

Hi, I am 71 years old, have osteopenia and have been taking a low dose of premarin for probably 30 years. The cost has become too much for me. I am wondering about taking estropipate instead since the price is much more reasonable. I hate to have price be the determining factor, but I am left with no choice. Do you have a suggestion?
Thu, 26 Nov 2015
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Orthopaedic Surgeon,  's  Response
hi
I would suggest that there should be investigations with bone scans (dexa), blood tests for calcium vitamin D levels and hormonal assy of estrogens and androgens by consulting a physician to evaluate and look for cause for persistent osteopenia, hopefully there are no patholigies with kidneys, adrenals,ovaries, thyroid or mal absoption syndromes for keeping low osteopenia.Androgens are substitutes for premarin but given under supervision of an physician, so consult ortho/endocrinologist to fix for investigations and remedy
best wishes
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What Causes Osteopenia In Elderly?

hi I would suggest that there should be investigations with bone scans (dexa), blood tests for calcium vitamin D levels and hormonal assy of estrogens and androgens by consulting a physician to evaluate and look for cause for persistent osteopenia, hopefully there are no patholigies with kidneys, adrenals,ovaries, thyroid or mal absoption syndromes for keeping low osteopenia.Androgens are substitutes for premarin but given under supervision of an physician, so consult ortho/endocrinologist to fix for investigations and remedy best wishes