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35 femalw with osteopina and back pain
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An_242153 posted:
her blood test results are fine. what would be the next step? she has been taking calcium pill and vitamin D3, but doesn't help. It has gotten worse. Her bone density and loss has increased. any suggestions??
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bonebabe responded:
Has she had a DXA? Has she gone through menopause? Does she take her calcium throughout the day instead of all at one time? Does she have any other health issues? Has she had a DXA in the past that can be compared to the most current one to determine if she is losing or stable?
Too many questions and not enough info at this time.

My suggestion would be that depending on her Tor Z scores (which are determined by menopausal status) the doctor would order some testing to see if there is an underlying reason for the low bone density.

If she has only had one DXA and it's low, it could be that she never reached her maximum bone mass and will always be low. If she's had two or more and the score is outside the margin of error and shows a loss, the doctor may want to talk about some intervention meds.

If she's not gone through menopause, her numbers will fall as she goes into and through menopause. Depending on how low they are, again, the doctor may want to prescribe something.

As for the back pain, low bone density doesn't cause back pain until there is a fracture. If she hasn't had x-rays, that should be considered.

The blood test don't give all the information needed for bone health results.

To sum up: If she hasn't had a DXA and xrays, that needs to be ordered. If she has and the numbers are low, the doctor should order further testing to see what's causing it.


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