Reply to Went from a mild Osteopenia DEXA to Osteoporosis in two years

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[quote=Anonymous][quote=Anonymous]OP here.  Thanks for all the responses. I am 5’6 and weigh 125 pounds. My weight has been stable for years. I am interested in hearing people’s experiences with specific medications.  My body tends to react poorly to trying new medications.  For instance, I just had a tetanus shot a normal tetanus shot and I’ve been out of commission for over a week.  I’m certainly not opposed to going on medications, but I would just like to hear from people who have been there with this situation.  My primary care doctor indicates that there is no real specialist for osteoporosis.  She actually encouraged me to just watch it for a year or so I’m not really comfortable doing that now that it’s full-blown osteoporosis.  I also had a CTX blood test and the results for that weren’t good either. I am interested in the echo light scan. I can’t seem to find it locally.  Any information is appreciated thank you.[/quote]

I would get a new doctor.

I have osteoporosis at 51. I had osteopenia for years but my dexa in 2025 showed the progression into osteoporosis and the scans were shared between my primary care and my gyno (who is the one that ordered the annual dexa). Both offices were calling me, very concerned and wanted me to consider seeing a specialist and consider medication. You can see an endochronologist but I had a hard time getting a relatively recent appointment (I have seen the one at medstar but didn't love her, I have heard the one at GW is good). So I was eventually referred to Dr. Andrea Singer at Medstar who works in women's care with a primary emphasis on bone health. She had me do the 24 hr urine collection, blood work, and a spinal X-ray and after that we decided to try 2 years of Tymlos (I am the PP that takes it). I have been on it for a few months. It is a daily injectable you give in your stomach via a pen. It can cause a drop in blood pressure right after the injection, so sometimes I feel light headed for a few minutes afterwards, but otherwise I have had no other side effects. This is a bone building drug, vs bone loss prevention. Dr. Singer's position was that since I haven't finished going through menopause yet, you want to build up as much bone as possible before menopause kicks in (which she defined as when you haven't had a period for 12 consecutive months) where the average woman then may start losing 1-2% a year. Tymlos is only for 2 years. Then it would be possible to switch to something else.

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