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Q: I have a new patient who states she has taken either fosamax or boniva for the last ten years and the test results have not changed from ostepenia, suggestions? Labs? Actonel? support? thanks jane
Pound for pound (balsa wood) is stronger in some respects than pine, hickory, or even oak.
The balsa wood example is helpful to keep bone density in prespective.
The real question is: does she need treatment at all? Does she have a high fracture risk? What is her FRAX score? Does she have a history of fractures? What are the goals for treating a number anyway?
Exercise, vitamin D, calcium and a little reassurance might be all that the doctor needs to order depending on the rest of the story.
Dr. Christina Lasich, MD
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