Osteoporosis & Osteopenia Treatment

What's the difference between osteoporosis and osteopenia?

Osteopenia is mild bone loss with T-scores between -1.0 and -2.5, indicating bone density that's lower than normal but not severely compromised. Osteoporosis is more significant bone loss with T-scores of -2.5 or lower, indicating substantially increased fracture risk.

When should I get a bone density test?

All women should have baseline DEXA scans by age 65, or earlier if they have risk factors such as family history, early menopause, low body weight, smoking, steroid use, or certain medical conditions. Post-menopausal women should consider testing within 2-3 years of menopause.

Can bone loss be reversed or only slowed down?

While significant bone loss is challenging to completely reverse, our comprehensive approach can often improve bone density and significantly reduce fracture risk. Early intervention during osteopenia offers the best opportunity for bone density improvement.

Are prescription osteoporosis medications necessary?

Prescription medications like bisphosphonates may be appropriate for severe osteoporosis or high fracture risk, but many patients can effectively manage bone health through bioidentical hormone therapy, targeted nutrition, supplements, and lifestyle modifications, especially when started early.

How do hormones affect bone health?

Estrogen is crucial for bone formation and maintenance. The rapid decline during menopause accelerates bone loss. Bioidentical hormone replacement therapy can significantly slow bone loss and may help improve bone density when combined with other interventions.

What nutrients are most important for bone health?

Key nutrients include calcium, vitamin D3, vitamin K2, magnesium, boron, and trace minerals. However, proper ratios and forms matter significantly. We use comprehensive testing to identify deficiencies and recommend targeted supplementation rather than generic calcium supplements.

How important is exercise for bone health?

Weight-bearing and resistance exercises are crucial for maintaining and building bone density. Impact activities stimulate bone formation, while strength training improves muscle mass and balance, reducing fall risk. We provide specific exercise recommendations based on your current bone health status.

How often should bone density be monitored?

Initial follow-up testing is typically recommended 1-2 years after starting treatment to assess response. Ongoing monitoring frequency depends on your initial bone density, risk factors, and treatment response, usually every 2-3 years once stable.