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A needless osteoporosis scare


Occasionally I like to share some of the interesting bone health cases I see at the Center for Better Bones. As the one-liner goes, “We should learn from the mistakes of others because we don’t have time to make all of them ourselves.” We can also learn from the wise choices of others. In this case, Marie made wise choices worth emulating.

Many people come to me because they appear to have a high risk of fracture, and others see me because they have “established” osteoporosis (the term for those who have already experienced a low-trauma fracture). A significant number of the cases I see, however, are individuals who have fallen prey to what I call “the great osteoporosis scare.” These individuals have been told they have excess bone loss, that they are at great risk of fracture, and that they must begin taking osteoporosis drugs immediately. If they do not, it is implied — or even directly stated! — that they will suffer painful, debilitating bone fractures.

Marie came into my office recently with an obvious case of “osteoporosis scare.” In her 50s, Marie was a health-conscious, health-savvy individual who tended to seek and repair the cause of any health issue rather than turn to symptom-suppressing medications. A few weeks earlier, Marie was totally thrown off when her doctor emphatically insisted she begin osteoporosis medications — even though she only had osteopenia, had never fractured, and at age 54 had a higher bone density than she'd had at age 49. Stunned, she came to me for a second opinion. After reviewing her case, I saw that she was at very low risk of fracture and that she, like the vast majority of middle-aged women with osteopenia, did not need and would not benefit from osteoporosis medications.

After our consultation, Marie came out of my office amazed that she had fallen for the “osteoporosis scare,” yet pleased that she had had the wisdom to seek a second opinion. Also, she was appreciative that she now knew how to better nourish and monitor her bone health, beginning with the correction of her vitamin D inadequacy right on up to supplementation with all 20 key bone nutrients and the development an Alkaline for Life® eating program.

So what is the take home message? For me, Marie’s case serves as a reminder that we should all follow our own instincts and become our own health advocates. As well-intended as your health professional may be, he or she generally does not have time to either fully assess your individual case or to critically “rethink” osteoporosis and your real fracture risk. Should your inner wisdom speak up, it's up to you to become informed, seek that “second opinion,” and become an advocate for yourself.

Take heart and take action — that’s the take home message as I see it!

Comments

January 7. 2010 20:18

Hello Dr. Brown.

This is exactly what just happened to me. I was diagnosed with “significant osteoporosis” and a prescription for Fosamax was called in to my pharmacy. I called my GYN for a second opinion and she reviewed my recent  bone density test and compared it with the previous one, concluding that I do not need to take osteoporosis medications.

Thank you,

Irma Velasquez-Kressner

Irma Velasquez-Kressner

January 27. 2010 17:58

Hi Dr. Brown,
I had exactly the same experience.  At age 53, I had a bone scan which indicated I had osteoporosis and was given a prescription for Fosamax.  I decided to do my own research.  Since I'm fair-skinned, have a small frame and weigh 90 pounds, I've always been told I'm in the high risk group, however, fracture risk is much more than bone density.  I decided to focus on building strength and flexibility.   A long-time macrobiotic vegetarian, my diet was alkaline, but I added animal protein, particularly fish.   I also started taking Vitamin D3, magnesium and calcium, and recently added Vitamin K.  I also started daily yoga classes, focusing on strength-building poses.  Now at age 60, I do daily hand stands for 2 minutes.   As a health psychologist, I try to educate women about the danger of misdiagnosis and the problems with biophosphonates.  

sandra scheinbaum

January 30. 2010 15:48

Hello Sandra,

Excellent choice to do your own research and a different approach in the prevention of osteoporosis and bone fractures. I too am a yogi and I strongly recommend it as an excellent and safe choice for fitness, muscle strengthen, and wellness of our bodies, minds, and souls.

Regards, Irma

Irma Velasquez-Kressner

February 1. 2010 21:39

Hi Sandra,
Glad to hear of your work as a health psychologist.  Those interested in misdiagnosis might want to see the new book by my friend Trisha Torrey.  Her book is entitled, "You Bet Your Life": The Ten Mistakes Every Patient Makes".  After being herself misdiagnosed with a rare, serious cancer she turned into "every patent's advocate".

Susan Brown

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