I was diagnosed with Osteoporosis back in 2007. I always managed my condition without Bisphosphonates, firstly when I was able to take HRT and some supplements, then, when HRT was no longer an option, with diet, exercise and supplements. I have just been diagnosed with Giant Cell Arteritis and am currently on a dose of 60 mg Prednisolone daily. On my GP's advice I swallowed my first ever Alendronic Acid tablet on Sunday - having sworn never to take Bisphosphonates! I am also taking two Thei-Cal D3 tablets daily, each tablet is 2500mg calcium carbonate and 22mcg of colecalciferol (thats equivalent to 100mg calcium and 880iu of Vit D3 per tablet). My concerns are:
1: That seems a very high dose of calcium in one tablet, taken at one time - let alone 2 tablets daily - I'm concerned about calcium deposits in my blood vessels.
2. I eat a diet rich in calcium and wasn't taking a calcium supplement before this happened. I was, however taking vitamin K2 MK-7 and a vitamin D3 supplement as well as a multivitamin and mineral.
My questions are:
1. Do you think that two tablets of thei-cal is too many
2. What supplementation regime would you advise for optimal calcium uptake by my bones
3. What are your thoughts on stopping the Alendronic Acid once my condition is under control and my Prednisolone dosage can be reduced or even stopped.
My T- Score has remained pretty constant, starting at -3.0 in 2007 and finishing at -3.3 in my last scan in 2018 - My Z-score at last scan was -1.8, Femoral neck left -0.3 and Total hip left 1.0 (Normal) - though I suspect that these figures will have become worse with inactivity due to lockdown and shielding (for my husband).
Many thanks - I'm feeling I'm on something of a roller-coaster that I would rather like to get off but have to see it through now!