My mother Sobha Ghoshal (now 78 years in 2019) has taken Bonmax Pth (teriparatide) injection for 2 years (spanning from October 2015 to September 2017) for Osteoporosis.. But after completion of 2 yrs, the T- score did not did not improve from the first BMD Test in the femur neck left and right. The BMD test comparison chart is given below for your kind perusal and consideration. Both the tests were done from Qudra, Kolkata- 7000019.
BMD TEST done on 19.09.2015
Femur Neck Left (hips)-2.2
Femur Neck Right (hips)-2.1
AP Spine L1-L4 is 1.007 g/cm2 (spine)-2.2
BMD Test Done on 18.09.2017
Femur Neck Left-2.2
Femur Left Right-1.8
AP Spine L1-L4 is 0.920 g/cm2-1.4
From the chart you can see that though, there is drastic improvement of BMD in AP spine from -2.2 to -1.4 but in the Femur Neck Left (hips) there is no improvement. Teriparatide subcutaneous injection failed to increase the bone density in the hips and so the risk of hip fracture is still there after completion of 2 years course. It works magically to increase bone density in AP spine but not the hips. It does not add/increase any bone density in the femur neck left and right. So I want to know what is the best cure to add some bone density in the hips so that it does not easily break after fall. Which is the best treatment for post menopausal woman of 78 years : a) Prolia (denosumab injection) or b) Aclasta (zolendronic acid) ?
None of the t-scores you list are in the osteoporosis range, which is said to begin at 2.5. However, as she has been on a bone med there is a possiblilty of rebound bone thinning unless something else is given. I believe, if she can tolerate it, one of the bisphosphonates is probably the simplest, and I think for however long they think the after effects of teraparatide are significant. May be a year.
However, was your mother ever assessed for secondary causes of osteoporosis to discover why her bones have not responded to the medication?
As you doubtless know, nutrition, including a few supplements like Vitamin K2 (not K1) and Vitamin D, and appropriate exercise are necessary for good bone health.
I'm in a hurry right now but will add more later.
Here are a couple of links. Hopefully there will be something useful in them:
Can you make a diet chart for my mother? What other supplements she should take in order to increase bone density and bone quality? What health drinks she should take everyday? Please help with your valuable suggestions.
I am sorry, I cannot go into any details like that as I am only a patient like your mother (although no meds in my case) and most of the information I have gleaned is in the link I sent of my own experience. There are a couple of useful websites. Ignore what they want to sell you:
They have good ideas and suggestions for safe exercises.