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Nov 23, 2020 · These include: Boron Copper Dehydroepiandrosterone ( DHEA) Eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) -- the two omega-3 fatty acids found in fish Folic acid, vitamin B6, and vitamin B12 Manganese Silicon Strontium Zinc
Can you cure osteopenia?
Jul 15, 2020 · Eat a balanced diet with plenty of vitamin D Limit alcohol intake Exercise regularly with weight-bearing exercises (lifting weights, hiking, jogging, climbing stairs)
Are there medications for osteopenia?
Jan 21, 2020 · Currently, the only drugs approved for osteopenia (osteoporosis prevention) are Actonel and Evista. Other medications, however, may be considered based on an individuals particular circumstances. If you have been diagnosed with osteopenia have a careful discussion with your healthcare provider. Talk about what may be expected in the years to come.
Can supplements treat osteopenia?
Sep 05, 2007 · What treatment option is best, removing Mirena and restarting OCP, keep Mirena and take premarin/estrogen (if so how much), or do nothing and recheck it later (If so how long) Answer There is little evidence into what defines osteopenia and osteoporosis in …
What are alternative treatments for osteoporosis?
Aug 13, 2020 · These include: Alendronate (Fosamax), a weekly pill Risedronate (Actonel), a weekly or monthly pill Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion Zoledronic acid (Reclast), an annual IV infusion
What is the best way to treat osteopenia?
How are osteopenic bones treated?Calcium treatment.Exercise.Healthy diet.Supplements for vitamin D deficiency and exposure to the sun to help your body absorb vitamin D.Sep 29, 2021
How do you stop osteopenia from progressing?
Make Your Bones ThickGet enough calcium and vitamin D.Exercise often and make sure your exercises put some strain on your bones (running and lifting weights, for example, are good for your bones).Don't smoke. Smoking harms your bones.Avoid cola drinks (diet and regular). ... Don't drink too much alcohol.Jul 22, 2020
When does osteopenia require treatment?
Drug treatment should then be considered in patients having osteoporosis and in patients with osteopenia when FRAX indicates a 10-year fracture probability of at least 3% for hip or at least 20% for major fractures [9].Jun 28, 2011
Should osteopenia be treated with drugs?
Women who have been diagnosed with osteoporosis are advised to take medication that can help them reduce bone loss. It would be easy to assume that women with osteopenia should be prescribed these medications as well. But that isn't the case. In fact, osteopenia does not need to be treated with any drugs at all.
What is the best and safest treatment for osteopenia?
The main ones are calcium and vitamin D supplements. Most adults should get between 1,000 and 1,200 milligrams of calcium and 600 to 800 international units (IU) of vitamin D every day.Nov 23, 2020
How often should you have a bone density scan if you have osteopenia?
If initial bone density testing shows you have a T-score of -2.00 to -2.49 at any site, or if you take medications that decrease bone density, or have medical conditions that can adversely affect the bones, experts recommend repeat bone density testing every two years.Oct 5, 2021
What is the best calcium to take for osteopenia?
Calcium carbonateThe two main forms of calcium supplements are carbonate and citrate. Calcium carbonate is cheapest and therefore often a good first choice. Other forms of calcium in supplements include gluconate and lactate.
How long does it take for osteopenia to turn into osteoporosis?
Of patients with osteopenia, 23.7% progressed to osteoporosis; median progression time was >8.5 years. Progression time was >8.2 years in “low-risk" tertile (T score between −1.1 and −1.6 SD), >8.5 years in “middle-risk" (between −1.6 and −2), and 3.2 years in “high-risk" (from −2 to −2.4) (p<0.0001).Oct 8, 2012
Can you reverse osteopenia with diet and exercise?
You cannot reverse bone loss on your own. But there are a lot of ways you can stop further bone loss. If you are diagnosed with osteoporosis or at a greater risk for developing it, your doctor may recommend certain medications to take.Dec 14, 2020
Why was Fosamax taken off the market?
Researchers say that the fractures occurred because alendronate stops the body from breaking down bone. This creates thick, but brittle bones. In October 2010, the FDA ordered Merck to change its drug label to reflect the bone-fracture connection. Fosamax use may also make fractures more difficult to heal.
Which is better Actonel or Fosamax?
The result: After a year of treatment, women taking Actonel had 43% fewer hip fractures and 18% fewer non-spine fractures than women taking Fosamax. "This adds to the suggestion from clinical trials that Actonel works faster than Fosamax," Watts tells WebMD.Nov 27, 2006
What is the best medicine for osteopenia?
Medications that can treat osteopenia or prevent osteoporosis include: Bisphosphonates.
How to reduce osteopenia?
Cut back on salt and caffeine. Both may make your body lose more calcium and bone. Caffeinated coffee and sodas have been linked to osteopenia, so try to cut back or switch to the decaf kinds. Check labels of packaged foods to see how much salt (or sodium) is in a serving.
What supplements help strengthen bones?
Other nutritional supplements may help strengthen bones, but so far, there’s little research showing how well they work. These include: 1 Boron 2 Copper 3 Dehydroepiandrosterone ( DHEA) 4 Eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) -- the two omega-3 fatty acids found in fish 5 Folic acid, vitamin B6, and vitamin B12 6 Manganese 7 Silicon 8 Strontium 9 Zinc
Why is hormone replacement therapy so popular?
Once a popular treatment to prevent bone loss, doctors rarely use it for that anymore because studies found that it made people more likely to get blood clots in their legs and lungs, along with other health problems.
How to keep your bones strong?
If you have strong bones, a healthy lifestyle can help keep them that way. If you already have osteopenia, those same lifestyle choices can lower the chances you’ll get osteoporosis. Make these practices part of your routine: Exercise. Like muscle, bone gets stronger when you use it.
What is the best treatment for osteoporosis?
Bisphosphonates. These meds slow your body’s natural process for breaking down bone. You may keep the level of bone you have or even get a small boost of bone density. Bisphosphonates are the main drugs doctors use to prevent and treat osteoporosis in postmenopausal women.
How to reduce bone density?
Don’t smoke, and drink less. If you smoke, try to quit. Studies have shown a strong link between cigarette smoking and lower bone density. If you drink alcohol, do it in moderation. That means no more than one drink per day for women and two daily drinks for men.
What is the best treatment for osteopenia?
Other medications for osteopenia include Selective Estrogen Receptor Modulators (SERMS) and denosumab. SERMS are used in post-menopausal women to disrupt estrogen activity, which prevents further bone loss. Denosumab medications are typically used for people who have cancer.
How to prevent osteopenia?
Living a healthy lifestyle is key to preventing osteopenia from developing, or slowing its progression to prevent osteoporosis. Eat a balanced diet with plenty of vitamin D. Limit alcohol intake. Exercise regularly with weight-bearing exercises (lifting weights, hiking, jogging, climbing stairs)
How many people have osteopenia?
About 18 million Americans have osteopenia, but more than 200 million people are estimated to have osteoporosis —and many people don’t even know it! (Both osteopenia and osteoporosis don’t necessarily show symptoms until they experience bone fractures or breaks. More than half of these injuries are painless, and go unnoticed!)
What is calcitonin used for?
Calcitonin can be used as a nasal spray or as an injection.
How to determine bone density?
To determine whether a person’s bone density is within a healthy range, a person may complete a bone density test. This test will produce a “ T-Score ”, which identifies the standard deviation, or difference, between your bone mass and the bone mass of a healthy person. A T-score of -1.0 or higher indicates normal bone density.
Is osteopenia more severe than osteopenia?
Though osteoporosis is considered the more severe form of osteopenia, osteopenia can be just as dangerous as osteoporosis when combined with other risk factors, such as smoking, a low-calcium diet, lack of vitamin D, hormonal changes due to age (especially menopause), and the presence of autoimmune conditions, such as rheumatoid arthritis.
What is the treatment for menopause?
Hormone replacement therapy (HRT), also known as menopausal hormone therapy and postmenopausal hormone therapy, is a medication that contains female hormones. This treatment method is often used to alleviate unpleasant symptoms associated with menopause.
How to prevent osteopenia?
If you already smoke or drink a lot of alcohol or caffeine, stop — especially if you’re younger than age 35, when you can still build bone.
What is the BMD of osteopenia?
Your bone density peaks when you’re about 35 years old. Bone mineral density (BMD) is the measurement of how much bone mineral is in your bones. Your BMD estimates the chances of breaking a bone from a normal activity.
Why do women lose bone mass after menopause?
After your bone mass peaks, your body breaks down old bone faster than it builds new bone. That means you lose some bone density. Women lose bone more quickly after menopause, due to lower estrogen levels.
Why do women lose bone?
Women lose bone more quickly after menopause, due to lower estrogen levels. If you lose too much, your bone mass may drop low enough to be considered osteopenia. About half of Americans older than age 50 get osteopenia. The more of these risk factors you have, the higher your risk is:
What is the most common way to measure BMD?
Dual energy X-ray absorptiometry, called DEXA or DXA, is the most common way to measure BMD. It’s also known as a bone mineral density test. It uses X-rays that have lower radiation than a typical X-ray. The test is painless.
What is the FRAX tool?
The FRAX tool uses your bone density and other risk factors to estimate your risk of breaking your hip, spine, forearm, or shoulder within the next 10 years. Your doctor may also use your FRAX score to help make decisions about treatment for osteopenia.
What foods have calcium and vitamin D?
To get calcium and vitamin D, eat nonfat and low-fat dairy products, such as cheese, milk, and yogurt. Some types of orange juice, breads, and cereals are fortified with calcium and vitamin D. Other foods with calcium include: dried beans. broccoli.
How to increase bone density naturally?
7 ways to naturally increase bone density – osteopenia treatments from home. #1 Engage in regular weight-bearing exercise. Bone and muscle are a team, and they’re a use-or-lose proposition.
Is alkaline diet good for osteoporosis?
There’s recent research that shows just how important an alkaline diet is for those at risk for osteoporosis. #7 Stress less. Amazingly, stress is highly correlated with fracture risk and bone loss (and that’s above and beyond all the other health issues it causes).
Is vitamin K good for bone health?
There’s a great deal of new research that shows vitamin K is vital for bone health, and for cardiovascular health as well. Some recent studies have even shown that one form of vitamin K, MK-7, is more effective at building bone than using bone drugs. #5 And get to know all of the 20 key bone building nutrients.
What does osteopenia mean?
Osteopenia means low bone density, but what exactly does this mean? It's easiest to understand osteopenia when we compare it to both normal bone density and osteoporosis (very low bone density).
What is the bone density test for osteoporosis?
Osteoporosis is a condition in which bones have become brittle and are more likely to break, even with mild injuries. A bone density test with osteoporosis gives a T-score of -2.5 or worse.
How does bisphosphonate work?
Bisphosphonates are medications which work by slowing the rate of bone loss, thereby improving bone density. Most of these reduce the risk of spine fractures, but not all have been shown to reduce the risk of hip fractures. 6 Some of these medications are taken orally while others are given by injection. Actonel, specifically, has been approved for the prevention of osteoporosis. Zometa has now been approved to use along with an aromatase inhibitor for the treatment of postmenopausal breast cancer. 7
Does tamoxifen help with breast cancer?
Tamoxifen may also be used to reduce the risk of developing breast cancer. 10 . Like estrogen (as in hormone replacement therapy) their action on bone increases bone mineral density and reduces the risk of vertebral (spinal) fractures.
What is the T score for osteoporosis?
A bone density test with osteoporosis gives a T-score of -2.5 or worse. Having a bone density that is 2.5 deviations below the average means that your bone density is in the bottom 2% of someone your age. 1 . Osteopenia lies between these numbers, with a T-score of better than -2.5 but worse than -1.0.
Is calcitonin a man made hormone?
Calcitonin is a man-made version of a hormone in our bodies that regulates bone metabolism and helps change the rate at which the body reabsorbs bone. It is available both as a nasal spray and by injection and can reduce the risk of spine fractures. Miacalcin nasal spray, in particular, may be an option for postmenopausal women who can't tolerate the side effects of other medications. 18
What is Forteo used for?
Forteo (teriparatide) is a man-made version of the body's natural parathyroid hormone and is usually used only for people with severe osteoporosis who are at a high risk of fractures. It is the only medication which can actually stimulate the body to grow new bone.
Question
I am a 32yr old female w/osteopenia -1.4 through hips. I was breastfeeding X 14mo but have stopped. I have a mirena IUD, no problems. I assume I ovulate, periods are irregular and light (Mirena). i take 1500 calcuim w/ vit D and also distance run. My last marathon was 2/07 but have not run distance lately. I have No medical history or allergies.
Answer
There is little evidence into what defines osteopenia and osteoporosis in premenopausal women. It is fairly clear that the use of the T and Z score from a bone densitometry scan does not represent the same long-term fracture risk in a pre-menopausal women as it does for those past menopause.
What is the best treatment for osteoporosis?
Bisphosphonates are usually the first choice for osteoporosis treatment. These include: 1 Alendronate (Fosamax), a weekly pill 2 Risedronate (Actonel), a weekly or monthly pill 3 Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion 4 Zoledronic acid (Reclast), an annual IV infusion
How does osteoporosis medication work?
Because bone rebuilding cannot keep pace, bones deteriorate and become weaker. Most osteoporosis medications work by reducing the rate at which your bones break down. Some work by speeding up the bone-building process. Either mechanism strengthens bone and reduces your risk of fractures.
What are the side effects of bisphosphonate?
The main side effects of bisphosphonate pills are stomach upset and heartburn. Don't lie down or bend over for 30 to 60 minutes to avoid the medicine washing back up into the esophagus. Most people who follow these tips don't have these side effects. Bisphosphonate pills aren't absorbed well by the stomach.
How often is romosozumab given?
Romosozumab is given as a monthly injection at your doctor's office. It is a new drug and less is known about long-term side effects, but it is not given to people who have recently had a stroke or heart attack. Treatment stops after 12 monthly doses.
Can you take bisphosphonate with water?
Bisphosphonate pills aren't absorbed well by the stomach. It may help to take the medication with a tall glass of water on an empty stomach. Don't put anything else into your stomach for 30 to 60 minutes, after which you can eat, drink other liquids and take other medications.
How long can you take bisphosphonate?
These bone-building drugs can be taken for only one or two years and the benefits begin disappearing quickly after you stop. To protect the bone that's been built up, you'll need to start taking a bone-stabilizing medication such as a bisphosphonate.
Can denosumab cause osteonecrosis?
Bisphosphonates and denosumab can also cause osteonecrosis of the jaw, a rare condition in which a section of jawbone is slow to heal or fails to heal, typically after a tooth is pulled or other invasive dental work.
How to maintain bone health?
These strategies can also help preserve bone health: 1 Getting enough calcium (between 1000 to 1500 mg per day, depending on your age, dietary intake, and other health conditions) 2 Getting regular exercise, including weight-bearing exercise 3 Limiting caffeine intake 4 Avoiding smoking
Why is vitamin D important?
Vitamin D is essential for helping the body absorb calcium, a mineral key to forming and maintaining bone. Exposure to the sun's UVB rays helps the body synthesize vitamin D.
Who is Lana Butner?
Lana Butner, ND, LAc, is a board-certified naturopathic doctor and licensed acupuncturist in New York City. Osteopenia is a condition marked by low bone mass. Although people with osteopenia have less dense bones than normal, the condition is not as severe as osteoporosis.
Does green tea help bone density?
Green Tea. Consumption of green tea might improve bone mineral density by stimulating activity in bone-forming cells and inhibiting activity in bone-weakening cells, according to a report published in 2009.
How long does it take to learn Tai Chi?
Tai Chi. In a 2007 study of 49 older adults with osteopenia or osteoporosis, scientists found that 18 weeks of training in tai chi (an ancient Chinese martial art that combines slow, graceful movements with meditation and deep breathing) helped improve balance and may reduce the risk of falling.
