Acabei de ser diagnosticado com osteopenia

olá - tenho 52 anos e sempre tive uma boa dieta de queijo, leite e outros produtos lácteos - fui fazer um exame Dexa em junho e recebi os resultados impressos hoje. O médico diz que tenho osteopenia e me prescreveu tomar ideos cálcio mastigável (comprimidos?) e fazer caminhadas e exercícios leves, além de fazer outro exame daqui a 5 anos - e um exame de sangue 2 meses após tomar os comprimidos de ideos. No entanto, ao pesquisar meus resultados na internet, a menos que eu não esteja lendo ou entendendo corretamente, para mim aqueles números nos meus resultados nem mesmo se enquadram na categoria de osteopenia leve. - então estou me perguntando se devo tomar esses comprimidos? - alguém mais os está tomando (1 comprimido duas vezes ao dia)? se sim, como estão indo? muitos efeitos colaterais (se houver)? - obrigada.

What are your results?  Between -1 and -2.5 is considered ostopenia, or low bone mass.  Nearly all adults are likely to go into the mild osteopenia range as they age, and taking calcium and D3, plus other important nutrients (please look up Vitamin K2) is the right thing to do.  Also weight bearing exercise, which can be a simple as walking!

I am not sure what you are saying. Are you only taking vitamins? 

Can you state the tscores?

Vitamin K2 is another good one to take as well as it aims the calcium onto the bones.

It does not sound like you are having any drugs. Your blood tests will keep an eye on your calcium and vitamin D levels.

You can also address this with your diet by including things like yoghurt, leafy greens, bony broths, prunes, skin of cucumbers, etc.

All the best AndyinIreland.

 

Desculpe, eu tinha certeza de que postei uma foto dos resultados do DEXA / escores T com o post principal, mas parece que não foi postado. Vou tentar novamente agora.

 

Those results are very minor. My worst back one is -4.3 so that puts your results into perspective.

I would just look at my diet if I were you and do weight bearing exercises.

Skip sugar and make sure your food is containing all the vitamins and minerals you need.

Keep an eye on your calcium and vitamin D levels each time you have blood tests. Definitely take vitamin K2 as well.

obrigado, sim, eu também achava que eram resultados menores. Você acha que o médico foi rápido demais para prescrever as tabletes de ideos? - Acho que há risco se você tomar dose excessiva de cálcio, assim como se não tomar o suficiente.

Take vitamin K2 that will put the calcium onto the bones. Wait to see your blood tests because you may need vitamin D in particular. People are short on that even in sunny countries now which is a puzzle.

I would take the calcium along with the vitamin D and then keep an eye via your blood tests.

K2 is really important.

My husband has two vitamin D3 per day and I have one and we live in Australia.

Magnesium is another one to check out. 

Our food is not as good as it used to be for a variety of reasons such as soil quality and chemicals.

obrigado por todas as suas respostas - vou pegar alguns desses suplementos de K2. Estou tomando magnésio desde 2009. Estive tomando esses multivitamínicos no último mês. Eles têm 5ug de D3 e 40mg de cálcio neles:

 

That is not a lot of calcium so stay with them until your doctor says you are getting enough.

Eu ficaria cético em relação a tudo isso se fosse você. Com 52 anos, você provavelmente está entrando na andropausa, então os níveis hormonais estarão mudando, o que pode afetar a saúde geral por alguns anos. Muito Mg pode desregular os níveis de Cálcio, pois eles trabalham em combinação. Pessoalmente, eu pararia de tomar qualquer coisa além da minha rotina alimentar normal por alguns meses, depois repetiria os exames de sangue para obter um nível base e ver o que acontece. Eu só comecei a tomar Adcal porque meus fêmures cervicais estão em -2,2, mas ainda não estou particularmente preocupado.

Iv been diagnosed also with Osteoporosis, the shock lasted for couple weeks but decided to research the drugs I was offered and I decided to accept the Adcal-D3 but refused the BISPHOSPHONATES. The side affects were just too scary for me. I'm taking Vitamin K2 M-7, by SOLGAR.

I'm also taking (after research ) something I'm not allowed to say. The downside to the ADCAL-D3 is chronic constipation.

Me too, I tried to come at taking the drugs but kept baulking and putting it off. So, for now at least, I am trying to improve my bone density naturally.

 

My back is also -4.3 which frightened me. I was just told I had osteoporosis and offered the Bisphosphonates.

Can I ask what particular foods are you eating, also do you know how lng between DAXA scans can you have another one?

Do you mean you also get constipation with the ADCAL-D3?

HI dolly my consultant told me not to have a dexa without a year gap. Kathleen and I are conducting our own little experiment as just over 2 years ago, we had the same T score. As I had always done the "natural method" and still developed OP I started on Bisphosphonates. I have had no side effects and my score has improved greatly. In another few months I should not need them as my hips are alread into the LBM  category.. i was devistated when I got my initial results but I am still running, walking 15,000 steps a day, and doing everything I always did except for my bike.( I have a brain tumour on my balance nerve, lucky me,) Although I don't fall over, I have had fractures in the past. Good luck with your decision.

We make soups with bones. I have yoghurt every night but my husband cannot have dairy. I have cucumber with the skin on as part of salad for lunch. We use avocado as butter with lunch every day. Leafy greens are always included with dinner vegetables. Prunes are another good one to have. Jellies are good especially if you are vegetarian and not having the bone broths.Fruit and vegetables are really important. We try to have some grass fed beef and they even have grass fed mince now.

We are not having sugar at all but we do have honey on our porridge.

Basically, we have good food with no rubbish and low calories.

In Australia, we can have them annually but it is over a year since my last one. Last one I had showed little difference but I had just started watching my diet and I cannot manage much exercise unfortunately. 

No. I cannot afford to have constipation as I have crohns. I take vitamin D3 but not usually calcium. I keep an eye on it in my blood tests.

I have come to realise that the tscores are only a number and not to worry too much. 

I actually regret ever having the first Dexa scan as I would have been oblivious of all this. A lot of people I know in their seventies have never had one and are unaware of the term osteoporosis.

Kathleen thank you for your reply. Yes I also wish I'd never had a Dexa a scan I seem to have become quite subdued now because I worry. Some people say it's best to know, but I would rather be oblivious to the whole damn thing. Anyway hopefully your next scan will show more positive results.

But dolly, now you know, you can change your eating habits, if necessary, change your exercise regimen, if necessary, look at other meds that might have caused you to have OP and many other lifestyle changes, again if necessary. Forearmed is forewarned. Pervention is best and now you know, perhaps you can stop it getting any worse.

Thank you Alison I shall take this all on board

Oi Dolly, peço desculpas por chegar tarde a esta conversa, acabei de ser diagnosticada com Osteopenia após uma queda e fratura no quadril há 3 meses atrás, pedi ao meu médico se poderíamos verificar minha densidade óssea e recebi os resultados há alguns dias. Tenho sido colocada em Calceos Cálcio e suplemento de Vit D3, com os quais não tenho problema. No entanto, também me foi prescrito Ácido Alendrônico, li os efeitos colaterais e estou muito relutante em começar a tomá-lo... tem que haver outro jeito, com certeza? Estava olhando para suplementos de saúde óssea?

Posso começar isso também como outro tópico, pois estou desesperada para aprender mais, percebo que fiquei bastante ansiosa com esse diagnóstico, mas ainda mais ansiosa com os possíveis efeitos colaterais do tratamento.

Obrigado,

Sue

I am vegetarian and jellies are not suitable for a vegetarian diet as they are made from animal derived connective tissue. You do get substitutes derived from seaweed but not sure how much they would contribute to bone health. Might be like other greens and be benificial. Will need to look into this. Great for iodine though