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[QUOTE=DesertBloom]Hi TJ: I would like to take Strontium Citrate now, but have read many articles from authoritative sites (NIH, NOF, etc) and they all say you can't take Forteo with S.C, but when I stop Forteo I believe S.C. will be my first choice to take to maintain any improvments I might have made.[/QUOTE]
DessertBloom, you mention that there are some articles in mainstream sources that say not to take strontium with Forteo. I've been thinking about doing this, but have wondered about it. I see an MD who works with alternatives and he seems to think it's fine. But another doctor, my endocrinologist is sure to say no, since he's anti supplement. In my opinion, I may have some information neither of them has, since I am willing to search for more info on my condition than either of them have time/inclination for.

I couldn't find any articles on this. Could you tell me a bit more about this? Why do they say not to take them together? Is it research based? Theory based? In other words, have they tried it in research? Or do the theories about how each of these works seem to point to this conclusion? (how the osteoclasts and osteoblasts are affected by each in particular ways, for instance).

I'm on Forteo now, and am considering using either Strontium or bio identical hormone replacement after I go off the Forteo. But why not now, just as I take calcium and vitamin D with the Forteo. I may take the BIHRT sooner for some other reasons.
Thank you Desert Bloom. I feel the same way that you do because to me the risks associated with taking it were something I thought long and hard about. I don't want to blunt the effects of it given that I've chosen to take the risks.

Also, I've had high calcium blood readings while on it because I was getting too much calcium and Vitamin D in my combined supplements/diet (I went on a milk drinking binge for a while and didn't take fewer supplements). I found information about a doctor associated with the Cleveland Clinic who was recommending less calcium and Vitamin D for certain patients who ended up with elevated calcium blood levels (hypercalcemia). This is one of the side effects in the literature put out by Lilly. This makes me more aware of the interactions of various minerals and parathyroid hormone in the form of Forteo. Since calcium and strontium seem to sometimes have similar characteristics in bone, it made me think.

When I find out more, I'll let you know. There are so many things to ask the doctors, and so little time to ask them in. . .
Hi DesertBloom,
I did have a high reading before taking Forteo, but only one. I take hydrochlorothiazide (HCTZ), which is a calcium-sparing diuretic for high blood pressure. This has worked great for my BP. The forteo research cites one study that was done with people on HCTZ and found no problems, but this study only had 20 participants, so really doesn't give much of a picture.

Also, at the time I was taking a maximum dose of Vitamin D, supervised by an MD who works with both supplements and regular prescription drugs. I also was on the max dose of calcium, but also was drinking lots of milk, yogurt, etc. So, I suspect the reason for this one high reading (11, when normal is 10.5) is a combination of these factors. It was retested and was 9.5, before I started the Forteo. Then I had this high reading again of 11, and stopped taking as much calcium, and it came back down to 9.2.

I'm still on Forteo, but my endocrinologist is consulting with my family doctor about the BP meds. However, I may or may not want to change what I'm taking. I'm a person who does not seem to do well with most meds (severe problems with statins, a non-statin drug called zetia that's supposed to not give the problems of statins, and a variety of others). In some ways I'd rather stay on HCTZ because I tolerate it well. I have a demanding job and so having these drug reactions while I'm trying to work is a huge problem.

One 2005 article I found on Medscape, by Zosia Chustecka, described a Cleveland Clinic doctor (Dr Angelo Licata) who has done some work with people who have high calcium while on Forteo. Perhaps this doc would know more about some of the causes if he has looked into it more since then.

My osteoporosis is severe and comes from both mother's and father's sides of the family. My father had very severe osteoporosis and my mother's is also very bad. I suspect that there are a number of factors, and find it frustrating that there is no good way to find out what the underlying factors are. That's another topic, but I'm wondering about it relating to the questions you have about your own situation with calcium. Perhaps there is some mineral metabolism thing that goes on with you and Forteo has a relationship with it.

The other things is that Forteo does elevate your calcium for 16 or 18 hrs after you take it. So the timing of the blood test may be making a difference. This is in the literature that Forteo includes with the product.

I did go to a consulting pharmacist a while back (she teaches at a major university) and she knew things the docs didn't seem to. I'm about to schedule another appointment with her to find out more about the Forteo and BP medications. If I find anything new, I'll post here.

An off-topic question: How do you dispose of the forteo pens? They are building up and I'm not sure. (I know how to get rid of the needles).





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