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How can I Prevent Osteoporosis Fractures without Estrogen Replacement?

06/12/2009 - Questions and Answers

How can I Prevent Osteoporosis Fractures without Estrogen Replacement?

By: Novoviva webmaster

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Question

My doctor tells me that I have osteoporosis and that I am at high risk of fractures, but she advises me that estrogen is not right for me because of my other health conditions and concerns. Are there other medications I can take to prevent fractures?

 

Answer

Other medications apart from hormone replacement therapy (HRT) consist of Calcium and Vit D supplements and bi phosphonates which is a group of medicines that alters the cycle of bone formation, slows the rate at which bone is dissolved and increases new bone formation, thus favouring a build-up in bone strength over time. The bi phosphonates are: alendronic acid (Fosamax) Risedronate sodium (Actonel) ibandronic acid (Bonviva) and disodium etidronate (Didronel PMO). - Raloxifene (Evista) like estrogen, reduces bone loss and increases bone density. However, Evista does not have estrogen-like effects on the uterus and breasts, and therefore is unlikely to increase the risk of cancer, as estrogen therapy sometimes can do.- Calcitonin (Miacalcin , Calcimar) is approved for the treatment of osteoporosis in women who are at least 5 years beyond menopause. Calcitonin is a hormone involved in calcium regulation and bone metabolism.
 

But yes, there are also many things you yourself can do to help. Eat a healthy, balanced diet that is high in fruits and vegetables and includes adequate calcium, vitamin D, and vitamin K. Dietary sources of calcium and vitamins are best, but they are also available as supplements. Foods rich in calcium are milk, cheese, yogurt, salmon, sardines, almonds, dark green leafy vegetables and broccoli. You should also avoid smoking and, if you drink alcohol, do so in moderation. Exercise can also help maintain bone health. Regular, weight-bearing exercise (for example, walking, hiking, jogging, stair-climbing, weight training, tennis, and dancing) may strengthen bone, and balancing and muscle-strengthening exercises can reduce your risk of falling and therefore lessen your chances of breaking a bone.
 

To reduce your risk of fracture, it's also important to take steps to eliminate factors in your environment that can lead to falls. Some of the many things you can do to avoid falls indoors include keeping rooms free of clutter, keeping floors smooth but not slippery, checking that all carpets and area rugs have skid-proof backing or are tacked to the floor, installing grab bars and using a rubber bath mat in your tub or shower, avoiding obstacles that you might trip over, having your vision checked regularly, and using a nightlight or flashlight if you get up at night. To avoid falls outdoors, use a cane or walker if you need it for added stability, wear rubber-soled shoes for traction, walk on grass when sidewalks are slippery, and sprinkle salt or kitty litter on slippery sidewalks in winter.
 

Related Links
Osteoporosis
Medications that Prevent Bone Breakdown
Raloxifene (Evista)
Calcium and Vitamin D
Don't Miss Out on Vitamin D
A New Weapon in the Battle of the Bones
Exercises

Created on: 01/17/2007
Reviewed on: 06/12/2009

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