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Doctors' Answers to "Frequently Asked Questions" - Osteoporosis
Answer: Increase the Fosamax to 20 mg this usually works if you don't have gi toxicity. Also, addition of miacalcin to the current dosage of Fosamax may be helpful, but not researched currently.
Answer: Forty six is not too early, it would depend a lot on your mother's age of menopause since it does run in families. However, the pituitary would potentially control both. If your TSH has ever been up, the pituitary is ok(at least as far as the thyroid is concerned). As to the osteoporosis, it would depend a lot on the initial bone densities. Most would prefer that you start above the 50% percentile since you are so young. What are your densities and T scores? Thirty minutes is the usual recommendation.
Answer: Fosamax will not lose it's effectiveness but it is very hard to absorb. Ensure you are following the directions very closely(take it first thing in the morning after you arise with no other food or medication for at least 30 minutes). Increasing the dosage is an option if you are taking it correctly. Lipitor is for cholesterol and would have no effect on osteopenia that I am aware of. Lastly, ensure that some other metabolic issue has not intervened. That is, check your serum PTH, Calcium, Vitamin D levels and thyroid levels. These are all other metabolic issues that can cause bone loss unrelated to the basic underlying osteopenia.
Answer: Usually no intake for four or five hours. I have patients that take it in the late afternoon-ensuring that they take in nothing but water since lunch.
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