Risedronate

[Farrah10]

Should I continue taking Risedronate with D3, K2 and magnesium?

I have osteopenia bordering on osteoporosis

[Met00]

Do you know why you've been prescribed Risedronate if you don't have osteoporosis? Have you fractured?

[Farrah10 in reply to Met00]

yes fractured wrist

DXA -2.4 lumber

[Met00 in reply to Farrah10]

Ok, it's because of the fracture then. Have they run blood tests to check for underlying causes? If not, ask to have your parathyroid, calcium and vitamin D checked, plus thyroid, coeliac and full blood count

[Farrah10 in reply to Met00]

yes all done, no issues vit d 89

[Met00 in reply to Farrah10]

So no cause found? If it were me, I would push for more tests! Not that I'd be likely to get anywhere 😀

[MWZ3 in reply to Farrah10]

but would you expect a fracture anyway? People without osteoporosis fracture when it is on hard ground.

[Farrah10 in reply to MWZ3]

yes, I tripped backwards and hit wrist on a marble hearth! my thoughts too!

Tricky as DXA so close at -2.4?

I feel its a bit of a blanket NHS response, but don't know enough to ignore the advise.

I wonder if the supplements Osteo-P-Complex, alone are enough to support an aging skeleton.

I had to change from Alendronic acid due to heartburn to Risedronate ?ok so far

thank you for comments as hard to find info to rely on!

[MWZ3 in reply to Farrah10]

Well a 20 year old would have broken that wrist so not indicative of fragile bones at all. I’m 78.5 and won’t take the drugs.

I have vitamin K2 and make sure everything else is sufficient like vitamin D, magnesium, etc.

[Raleigh59 in reply to MWZ3]

what’s your dexa number

[Farrah10 in reply to Raleigh59]

DXA Spine and Hip

SITE BONE DENSITY (gm/cm2) T-score (

Z-score)

Lumbar Spine Total 0.789 -2.3 -0.4

Hip Total 0.834 -0.9 0.5

Femoral Neck 0.642 -1.9 -0.2

[MWZ3 in reply to Raleigh59]

-5 in two places like wrist and low back. Hips aren’t too bad with -2 or so. There’s a big difference between worst and best numbers which brings the whole thing into question. If you have small bones they could still be strong. Many don’t trust the Dexa scans anyway. At my age of 78.5 I think the drugs outweigh the risks for me.

[Raleigh59 in reply to MWZ3]

yes idk the dexa tells me my bones are weak and I am 60 and now on Tymlos . I’ve had consults with several doctors who all agree. My top endocrinologist said “ we don’t know why with these scores you have not yet fractured. “ he said” the dexa only tells 40% of the story. “ He was implying that there are aspects of my bones that are excellent. Still with my -4.7 I have no choice but to do strong medicine.

I don’t see that my bones are strong like you said they could be strong - the low scores indicate how porous they are which seems to mean they are weak.

[jamr in reply to Raleigh59]

DEXA score is a measure of bone density, not the quality of that bone. It is also affected by the strength and tone of the muscles around joints etc, balance. There are invasive ways (biopsy) and some new tools , see quoted insert from a study, 'New tools, trabecular bone score (TBS) and hip structural analysis (HSA), obtained during DXA, can supply informations about bone structure of spine and femur, respectively,' However I know nothing about these measures but the logic is sound. One might have less dense but good quality, strong bone or denser but poorer quality. DEXA is currently the mass method of doing osteo diagnosis but it has significant limitations.