I am a 31 year old female diagnosed with osteoporosis. Is Teriparatide treatment recommended? Or vitamin D supplements and Calcium tablets sufficient?
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Teriparatide is an extreme treatment for osteoporosis and is always based on your DEXA scan (dual energy x-ray absorptiometry) report. Have you got your DEXA scan done? How have you been diagnosed with osteoporosis? Please specify.
If DEXA scan has not been done, then just take Calcium and vitamin D supplement, it will suffice. If done then revert back to me with the blood reports and scan report so that I can advise accurately.
Thank you for your response. Yes, I had a DEXA scan yesterday and the assessment reads as follows. There is an evidence of osteoporosis in lumbar vertebral body, in trochanter and total mean of both femurs. There is an evidence of severe osteoporosis in neck of both femurs. I have attached my DEXA scan results for your reference.
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Your DEXA report (attachment removed to protect patient identity) indicates osteoporosis, but DEXA scan is only indicated for women above 60 years of age.
Teriparatide should not be given in child bearing age group as it has some potential side effects. Also, it can only be given once for a particular duration in lifetime and cannot be repeated.
What you should do now is, take Calcium supplements and vitamin D injections. Do other blood investigations like renal function test, liver function test and thyroid profile. Take opinion from an endocrinologist and find out the root cause of osteoporosis and treat that, rather than taking Teriparatide which is dangerous in child bearing age.
An endocrinologist will suggest you some other blood tests to check the hormonal levels in your blood. You should do an x-ray of pelvis both hips AP view and revert back after two months.
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