Medications for Osteoporosis treatment with Dr. Marc Wein, Mass General Hospital Boston

[@paulayates3150]

So, you thigh bone gets so strong it breaks?? Like a piece of chalk? I thing they call that brittle.

[@patriciad9747]

This is a very helpful presentation. Thank you.

[@osteoboston]

Thank you! it's good to know which topics are of interest to our followers. Much appreciation.

[@hopewilson14]

Excellent discussion/ presentation!

[@oretsinavtland6208]

Yeah, just gloss over the side effects of bisphosphonates because “they do not put you in the hospital”. Try weeks of debilitating bone and muscle pain and see if you think they are so minor. good call, though, on not prescribing them at the first sign of osteopenia and minor fracture risk.

[@osteoboston]

Sounds like you've experienced issues with them, and I'm sorry. My mom took them and was fine, but I also experienced problems. I understand. Many people do well with them, and there are others of us who do not.

[@mindyourbusiness302]

​@@osteoboston not worth the gamble 50/50 odds

[@BeaTrice10]

@@mindyourbusiness302 Unless you fracture.

[@peggyharris3815]

If you were to interview Dr. Susan Ott, you would find her views concerning Prolia very interesting.

[@gabriellewilliamson5810]

I am on bisphosphanates for 5 years now have had 9 fractures and am 68 years old Should I consider Evinity for long term management and why can oestrogen not be used?

[@mindyourbusiness302]

Bisphophonates has caused your issues

[@joyce7632]

With regards to combination therapy of Forteo and Prolia I believe it’s now known that you lose a lot of bone mass when you stop Prolia. So how do you proceed when combination therapy is stopped?

[@200Nora]

That's why I do not want to take medications for my osteoporosis. Because I am a nurse, and I know how they work. I am 68, and I have never had a fracture still no fractures. I had lived as much of a clean life as possible. However, my nutrition has never been optimal. I had poor nutrition as a child. As an adult, I have done to myself because of life work demands preventing me from eating enough or skipping lots of meals. In the last 15 years my stress level has increased a lot, and I became less active. Driving up to 4 or more hours a day as a home health nurse, does not leave too much time for anything else. I am trying my best for at minimum stabilizing my condition and prevent progression. I am still able to exercise with minimal or no discomfort. My D3 was very low 2 years ago as my B12. That is resolved in my last labs. I am still working as a part time nurse (I cut my work to allow more time to focus on my health and minimize my stress level and get better sleep. I am trying to continue fracture free for the rest of my life. Any extra advice is greatly appreciated.

[@Ophelia-dj8si]

Thank you! I understand the medications given to me for 11 yrs now. Latest being prolia for a year now. I'm 67 with lowest T score of -2.8 from -2.5

[@afrouzkhakpour7067]

Why are you not asking about dangerous sid effects of profile and all osteoporosis treatment , destroying the jawbone and all teeth ? And constantly hug bone and muscle pain ?

[@jeangriggs201]

Well this one is so negative! No the side effects are real. We are all alone in this fight

[@laurelrancitelli2271]

I have DR WEIN...he is FABULOUS!!!!!!!

[@BeaTrice10]

@@laurelrancitelli2271 You are fortunate! Do you happen to know if he does phone consults? Thanks.

[@BelaGandhi-g2c]

Please send drs email would like to ask questions

[@cm1906]

Thank you for this excellent presentation and all the answers to questions, Dr Wein! I learned a lot.

[@osteoboston]

Glad it was helpful!

[@lynnwilliams5432]

Recent fall on Greater Trochanter stem broke did a anterior hip replacement at post op found a fracture ( stable) so on no weight bearing on left leg until Aug 22 9:50 AM. Eating high protein 128gm and Ca 1200 mg. Two weeks after operation did bone scan reported Osteoporosis. 81 yrs coming week . 5’7” 128lbs . I don’t know exact number. I wen the not this excellent health step racing 10 miles and running 9 min weight resistant things to prevent. Oh dang.

[@robyn3349]

Thank you.