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Topic: Osteopenia on Bone Density

Forum: Bone Health and Bone Loss — Talk with others about bone density, osteopenia and osteoporosis, and ways to keep your bones strong

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Posted on: Feb 16, 2023 05:02PM

Posted on: Feb 16, 2023 05:02PM

concernedaboutresults wrote:

I just started taking Femara (Letrozole) about 10 days ago and I just got the results from my DEXA bone scan. It came back as osteopenia. The radiology report recommended screening in 1 year if risk factors are present or medical treatments that cause bone loss. I am 53 and the scores weren't too low all over. - 1.2 in my lower spine, and between -0.5 to - 0.8 in other places scanned. Can anyone share what changes to medications or treatment plans occurred with osteopenia, if any?

Hormonal Therapy 12/17/2022 Femara (letrozole) Surgery 12/22/2022 Lumpectomy (Left); Lymph node removal (Left): Sentinel Radiation Therapy 2/13/2023 Whole breast, Radiation boost: Right breast Dx IDC, Right, <1, Grade 1, ER+/PR+, HER2-
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Feb 18, 2023 04:18PM concernedaboutresults wrote:

yea, I don't know. I'm taking a multivitamin supplement, a bunch of c, some elderberry, and the critical with calcium and d. I can't drink much in the way of milk and limited on dairy in general because I had my gall bladder out and since developed bile dumping syndrome. Which come to think of it, makes me wonder if any of these vitamins absorb that well or if they just get dumped right back out. It seems getting extra d through sun exposure is a good option. My basic metabolic panel showed all within the normal range which is good too. The only thing off in my labs was total protein right at the cutoff for being high.

Hormonal Therapy 12/17/2022 Femara (letrozole) Surgery 12/22/2022 Lumpectomy (Left); Lymph node removal (Left): Sentinel Radiation Therapy 2/13/2023 Whole breast, Radiation boost: Right breast Dx IDC, Right, <1, Grade 1, ER+/PR+, HER2-
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Feb 18, 2023 05:53PM spookiesmom wrote:

needs to be D3, your body doesn’t make it from sunlight. Not usually in a multivitamin either.

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Feb 18, 2023 07:09PM concernedaboutresults wrote:

Spookiesmom - Thanks! I looked at my citrical again and it's only D. But my multivitamin has 2000 IU or 250% of the recommended daily allowance of d3. I am pretty sure the human body makes D3 from sunlight. See references article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC38975...


Hormonal Therapy 12/17/2022 Femara (letrozole) Surgery 12/22/2022 Lumpectomy (Left); Lymph node removal (Left): Sentinel Radiation Therapy 2/13/2023 Whole breast, Radiation boost: Right breast Dx IDC, Right, <1, Grade 1, ER+/PR+, HER2-
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Feb 18, 2023 08:54PM spookiesmom wrote:

I stand corrected. I always heard the body couldn’t.

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Mar 2, 2023 08:25PM - edited Mar 2, 2023 08:29PM by concernedaboutresults

So I met with my MO this week and he wants to start me on Prolia injections once every 6 months until I move back into the normal range. What have been your experiences with this drug? I went back through and reviewed previous posts and couple of you already shared some positive results with Prolia and that is promising.Thanks in advance!

Hormonal Therapy 12/17/2022 Femara (letrozole) Surgery 12/22/2022 Lumpectomy (Left); Lymph node removal (Left): Sentinel Radiation Therapy 2/13/2023 Whole breast, Radiation boost: Right breast Dx IDC, Right, <1, Grade 1, ER+/PR+, HER2-
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Mar 8, 2023 10:35AM italianchef wrote:

I am preparing to start Anastrozole at the beginning of April and my medical oncologist has now suggested - due to osteopenia in my DEXA scan - that I start on Zometa (4mg via IV every 6 months for 3 years). I'm already taking Calcium (1200mg) and D3 (50mcg) daily and I'm worried about taking all these vitamin supplements - I also take Iron (85mg) and B-12 (2500mg). I'm vegetarian, but I also have high cholesterol (I take Atorvastatin and Ezetimibe and I limit my dairy intake) -- I just feel like I'm on a slippery slope to taking sooo many medications, which I don't like.

Surgery 12/1/2022 Lumpectomy (Right); Lymph node removal (Right): Sentinel Radiation Therapy 2/1/2023 Whole breast: Right breast Dx ILC, Right, <1, Stage IA, Grade 2, ER+/PR+, HER2- Hormonal Therapy Arimidex (anastrozole)
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Mar 8, 2023 11:35AM flashlight wrote:

I found it was important to have your Vit D3 level checked. When diagnosed mine was low at 33. My sister is on Zometa and hasn't had any side effects and she was diagnosed with osteopenia. Her cholesterol did go up on anastrozole and she takes lipitor. I am on Tamoxifen because I have osteoporosis and it has helped my cholesterol level. My doctor wanted me to switch for the last 2-years, but I didn't want to take a chance on my bones. I didn't want to take a bone building medication. All you can do is try.

Dx 11/15/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR-, HER2- Dx DCIS, Left, <1, Stage 0, Grade 1, 0/1 nodes, ER+/PR-, HER2- Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole breast Surgery Lumpectomy; Lumpectomy (Left)
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Mar 8, 2023 02:00PM - edited Mar 8, 2023 02:06PM by spookiesmom

D3 is soooooo important. When I was tested years ago I was 17, and that's living in Florida. I'm now around 80. I fell 3 times last summer nothing broke, and the D3 had to help.

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Mar 8, 2023 02:54PM flashlight wrote:

17 to 80 that is awesome. I haven't been in the sun or outside much since having knee issues and then surgery. Not to mention Covid. I usually get it checked every 2-years as per medicare . This year it was in the 40's! Hope to get it back up.

Dx 11/15/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR-, HER2- Dx DCIS, Left, <1, Stage 0, Grade 1, 0/1 nodes, ER+/PR-, HER2- Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole breast Surgery Lumpectomy; Lumpectomy (Left)

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