First of all medication is NOT recommended if you have only osteopenia, aka low bone mass, not osteoporosis. There are many risks and side effects involved with all the bone medications so they should be reserved for times when their benefits outweigh the risks.
It is possible for people even with osteoporosis to improve their bone density without the use of medication, so it's disappointing that doctors don't seem to realize that people with osteopenia (low bone mass) should be given the chance to improve their bone density through nutrition, supplements and appropriate exercise.
Calcium and Vitamin D are a start. Please add Vitamin K2 (not K1) if you can. And have a read of my account of my early days of dealing with a diagnosis of low bone mass:
I believe they weigh the risks. I'd had a fracture, although I dispute whether it was a "fragility fracture" and that was one of three risk factors they considered when advising I should take a bisphosphonate. I've also been taking prednisone for PMR and this was a further risk factor. But if the only risk factor is a low bone mass diagnosis I think that is not considered enough reason to take medication. I believe it's something called FRAX, which gives a wider picture of the risks of fracture than just a DXA scan.
I have osteopaenia, broke my neck of femur and was put on Alendronate Acid by the hospital (I suspect “as a matter of course”). However I stopped them due to side effects after a couple of tablets and starting to do my research. My fracture was not a frailty one though, it was a high impact stress fracture.
You shouldn't be taking any meds for osteopenia...so go off this immediately...and do not let them talk you into ANY of the bone meds in the future, if/when you develop osteoporosis...these meds should all be taken off the market...please do research about these before letting them talk you into them!
The people on here shouldn't be telling you what you should and shouldn't be taking. They should only give advice and support and share their own experiences. Your Drs are the ones who are medically trained and have access to your records. Listen to them and what they recommend. Do some research and maybe try what they say to see how it goes before commiting.
We may not be medically trained but have much experiences with these awful bone meds, and the doctors DO NOT give this information to their patients when prescribing them....their heads are stuck in the sand regarding osteoporosis....
You need to discuss risks and benefits with your doctor and then make up your own mind. There is good information on the Royal Osteoporosis website and the Canadian Osteoporosis society website and other reliable places too. If you have been prescribed weekly tablets you can always stop taking them if they don't suit you and discuss it with your doctor.
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