Re: osteoporosis/osteopenia

[Guest guest]

Lori,

Got a stupid question. How am I suppose to know if I am post menopause? I had my uterus removed at about 30ish. I had hot flashes that lasted for days with no relief and was always sweaty so I have been on Premerain for about 3 years. I have no idea where I am at. I was so hot I was wearing summer clothes in the winter in Alaska and 68 in the house was terribly hot for me. Should I taper off this HRT and see what happens?

osteoporosis/osteopenia

,what you have is known as osteopenia. I previously had it because of all the years of steroids. Steroids destroy bone, especially in women.I changed my diet since finding out I was osteopenic to include more calcium and also take Tums as a supplement. But there are prescriptions agents to help build bone or prevent bone loss that you can get prescribed if you are past menopause. I am pretty sure my bones have built back up since I recently had a bone scan for something unrelated to Samters and they ddin't mention that my bones were osteopenic. But you should keep a close eye on this.Lori

[Guest guest]

,

You are postmenopasual if you had your uterus removed. The HRT actually helps

stave off bone loss, so that's not a bad thing to be on for the osteopenia. But

the HRT will make you hot.

You might want to ask your doctor about medications to preserve bone, especially

since you had your uterus removed ...

Lori

[Guest guest]

Did she have ovaries and uterus removed. Your ovaries are what produces estrogen ,progesterone and androgen. I was told once years ago by my OB/GYN that I could have a hysterectomy for a problem I have. He said my ovaries were fine and there was no need to remove them. I decided against having it done because the problem I have is not that bad. I was told also that when I reach menopause it should get better.He also explained about your ovaries being what produces female hormones. Evie

Re: osteoporosis/osteopenia

,You are postmenopasual if you had your uterus removed. The HRT actually helps stave off bone loss, so that's not a bad thing to be on for the osteopenia. But the HRT will make you hot. You might want to ask your doctor about medications to preserve bone, especially since you had your uterus removed ...Lori

[Guest guest]

Hi all,How do we treat rygb pts 5 yrs out who have elevated PTH levels? He is currently taking 350 mg of calcium citrate daily and 50,000 IU ergocalciferol 2 x week. I recommended he up his calcium to 500 mg tid taken in conjunction to vit d. Any other suggestions? Please advise.Thank youSharon Zarabi RD, CDN, CPT Lenox Hill Hospital. www.sharonzarabi.comFrom: " Mackie" Date: Mon, 3 Aug 2009 15:09:20 -0400< >Subject: RE: Osteoporosis/osteopenia We have the capability of doing the bone density testing here – and are making recommendations for calcium, vit D and exercise but are referring pts to endocrinologists for rx as they have a better understanding than we do (at least in our opinion) but I think that is an excellent point about the possible harshness on the pouch…..keep me posted on what your clinic does. K. Mackie, MS, RD, LDN Southeast Bariatrics Nutritionist 2300 Randolph Rd. Charlotte, NC 28207 704-347-4144 (P) 704-347-4148 (F) hmackiesoutheastbariatrics www.southeastbariatrics.com From: [mailto: ]On Behalf Of SimlerSent: Monday, August 03, 2009 2:29 PM Subject: Osteoporosis/osteopenia Have any of you been involved in recommendations for post-RNY patients with osteoporosis or osteopenia? I know the bisphosphonates can be very harsh on the esophagus, so I assume that is true for the gastric pouch, too?? We are starting to have more patients getting bone mineral density testing (as they should), so finding more with low bone density. Obviously, they need adequate Calcium and vitamin D AND weight bearing exercise, but I am not so sure about the drugs. I know we will be asked more often by the PCPs, so I am trying to learn about the meds. Thanks for your advice, Simler, MS, RD, Coordinator for Weight Loss Surgery and Osteoporosis Programs ValleyCare Health System 925-416-6712 This message and any included attachments are from ValleyCare Health System and are intended only for the addressee(s). The information contained hereinmay include trade secrets or privileged or otherwise confidential information.Unauthorized review, forwarding, printing, copying, distributing, or using suchinformation is strictly prohibited and may be unlawful. If you received thismessage in error, or have reason to believe you are not authorized to receiveit, please promptly delete this message and notify the sender by e-mail.