I have had bone loss and underwent a bone density test. Should I go for tablets or injections?

Q. What are the side effects of taking medicines for severe bone loss?

Answered by
Dr. Kaushal Bhavsar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 31, 2022 and last reviewed on: May 25, 2023

Hello doctor,

I had done a bone density test, and my bone loss is worse this year than last. My doctor suggested me to take an injection or a pill for it. I took the tablet Fosamax last time and had a bone ache. I am also taking tablet Lipitor and a baby pill once a day. What is the best way to treat this condition, a pill, once a month, or an injection, and which one has the least side effects? I have heard that there is a once-a-year injection, but if it has various side effects, it will be in my body for a year. Kindly suggest.



Welcome to icliniq.com.

I can understand your concern. I would suggest you to take calcium pills daily and a vitamin D3 loading dose once a week or an injection once a week with a daily dose of vitamin D3.

Can you please send me reports of calcium, vitamin D3, and bone density tests? Please reply to me with answers to the above-asked questions so I can better guide you.

Thank you.

Hello doctor,

Thank you for the response. What is meant by a loading dose? What do you think is best for me, injection or pills, as I am afraid of the side effects? Which pill or injection has little to no side effects, and will it help slow down bone loss? Kindly suggest.



Welcome back to icliniq.com.

I can understand your concern. If you have severe vitamin D3 deficiency, we have to give a higher dose of vitamin D. It is known as a loading dose. Loading dose can be given by either tablet or injection. The dose is 60,000 units once a week for eight weeks. Along with this, you will need to take a daily maintenance dose of vitamin D. It is safe and has no side effects. Consult your specialist doctor, discuss with them and take medicines with their consent. So please let me know your vitamin D3 and calcium levels.

Thank you.

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