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Osteoporosis Message Board

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After Forteo
May 21, 2009
In 2006 I was diagnosed with osteoporosis. For the next two years I took Forteo; my spine BMD improved from T -3.1 to T -2.3, and my hip BMD improved from T -2.4 to T -2.1. Several studies have shown that, in the year after stopping Forteo, BMD will continue to improve if bisphosphonates are taken, but will decline if bisphosphonates are not taken. So doctors routinely prescribe bisphosphonates after ending Forteo therapy; that is what my endocrinologist wanted to do, but I declined and did not take bisphosphonates during the past year. Instead, I tried using alternative methods, including daily use of a Juvent vibrating platform, increased unipedal standing, diet modification, increased vitamin D, additional exercise, etc.

I just had my 2009 DEXA. My hip BMD was unchanged at T -2.1, but my spine BMD had declined to T -2.7, back into osteoporosis. Half of the improvement I had made in my spine BMD while on Forteo, is gone. So I am yielding to the advice of my endocrinologist. He currently thinks I/V Boniva is better than Reclast, because in his experience I/V Boniva has substantially fewer side effects. I have had my first I/V Boniva treatment, and will continue with 3-month I/V Boniva for the time being.

So my experimental, non-bisphosphonate effort to maintain spine BMD in the year after ending Forteo has failed.

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