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Q: I am 52 and have been diagnosed with severe osteoporosis. What type of doctor should I see for treatment?
Hi Resa, welcome...Here's a list of doctors that treat osteoporosis. It would be up to you to decide which specialty you might want to chose.
1. Endocrinologist
2. Rheumatologist
3. OB-Gyn
4. Bone and Mineral metabolism
5. Internist
According to the package insert on Evista, it says that you shouldn't take Premarin (HRT, ET) with Evista, since there haven't been any studies done on the combination of the two. Also, Premarin and Evista have a common side effect, so you wouldn't want to increase the odds of getting this (blood clots/strokes).
To be sure about this information discuss this with your doctor and read the prescribing information from Eli Lily on Evista.
Good luck...
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Hi Resa, here's an explanation of the medical specialties above, that you can read, and some general information about osteoporosis.
Beginners Guide to Osteoporosis:
http://www.healthcentral.com/osteoporosis/understanding-osteoporosis-510985-5.html
Also, look at the t-scores to see if you actually fall into a t-score level of severe or established osteoporosis. If so, Evista is generally not used for someone with low t-scores, but you can discuss this with your doctor to confirm. Normally when your scores fall below -2.5 and you have had a previous fracture, Forteo, Prolia or one of the bisphosphonates is recommended. However, this decision is up to YOU, and you need to makes this decision for yourself.
Osteoporosis Drugs Chart:
http://www.healthcentral.com/osteoporosis/c/76444/123832/osteoporosis
Since the article above was written, a new time-released drug called Atelvia was released on the market after FDA approval. Here's the article on Atelvia.
Information on Prolia:
http://www.healthcentral.com/osteoporosis/c/76444/113283/fda-approves
Good luck...