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    How serious is osteoporosis with a T score of just at -2.5
    Anon_128925 posted:
    my husband has been told he has a T score of -2.5

    What is considered serious osteoporosis. How bad can it get.

    Could you have a fracture with -2.5. thank you
    bonebabe responded:
    Osteoporosis is defined as having a T-score of -2.5 or greater. It is also defined as having had a vertebral fracture or hip fracture regardless of T-score.

    Severe osteoporosis is defined as having a T-score of -2.5 or greater with the presence of a non-violent fracture. A non-violent fracture is one that occurs from a standing position (slipping on ice, twisting an ankle, etc) or from non-violent contact, such as hugging, picking up a child, crunches, etc.

    Having a diagnosis by T-score of osteoporosis doesn't guarantee a fracture any more than having a T-score in the osteopenic range gives you a free pass from fracture. There are many factors that go into play. For example:

    Family history of hip fracture, use of high risk medications (especially prednisone) having had a fracture after age 40, drinking more than 3 alcoholic drinks a day, smoking and your FRAX score.

    Your husband should be on an osteoporosis medication. He needs to talk with his doctor about which one to use. He also needs to consume 1200 mg of calcium each day in addition to 1000 IU of Vit D.

    In two years, he needs another DXA done at the same testing place so that any changes in his bone density can be tracked.

    Look at the NOF website ( ) for a lot more good information.

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