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Friday, April 09, 2010 jennynell asks

Q: I have celiac disease with osteopaenia, should I take Forteo?

I have read that Celiac patients with active intestinal damage should not take Forteo as its resorptive agents can block the main source of blood calcium, causing increased bone breakdown.  I a newly diagnosed celaic patient with osteopaenia and have recently had surgery to repair my third non-union of the same site.  Should I take Forteo or not?

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Answers (1)
Pam Flores, Health Guide
4/ 9/10 7:01pm

Hi jennynell, welcome... Sorry to hear that you have Celiac.  If you are considering Forteo you'd have to dicuss this with your Dr.  However, Forteo isn't an anti-resorptive, like Reclast, Boniva, Actonel, Fosamax, Evista or the rest of the meds, it's an anabolic so it works differently than the others.  Forteo can cause elevated levels of calcium in some patients and it doesn't block calcium. Most patients don't qualify for Forteo unless their t-score is below -2.5 to -3.0 (osteoporosis) or if they've had a fracture.  I've never heard of someone taking this for osteopenia.

 

I would talk to your Dr. about this and if you'd like to read more about Forteo here's a paper from the Cleveland Clinic on it that explains what I mentioned above.  It's very easy to read and explains just about all the questions you might have about it.

 

Good luck and let us know if you have another question.

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4/ 9/10 7:46pm

Thank you so much for your informative reply and the link.  New diagnoses can prove to be very confusing and I appreciate the direction you provided!  

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Pam Flores, Health Guide
4/ 9/10 8:26pm

Hi again... Your very welcome, and I totally understand how all of this can be confusing.  It took me years to get it figured out, and I did take Forteo with great success.  If you need any further help just pop back in and post a question, we'd love to hear from you.

 

I'm very glad that at least you know you have Celiac and can try treating it with a gluten-free diet.  How's it going???  I was tested for that to rule out secondary causes for osteo, but there are so many of them, and I was told I don't have Celiac.  If you'd like to read about other secondary causes here's a link to an article I wrote on it.  There are also meds that can cause bone loss so check out the post on that too, if you want to.

 

Good luck again..

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By jennynell— Last Modified: 12/25/10, First Published: 04/09/10