// Osteopenia
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timbuktu
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« on: Jun 01, 2009 09:05 AM »


peace be upon you

After three months of weakness in the wrist and ankles, pain, ridicule and dilly-dallying, I finally prevailed upon my consultant to prescribe a dexa bone scan, and guess what? The results show Osteopenia, but the organization that pays my bills is severely short of money, so the consultant is reluctant to prescribe Fosamax or Bonviva - both expensive medicines. Increase your vitamin D intake, go out in the sun more often (this in June), and take plenty of milk and yoghourt. The last two I approve of. Smiley

Well, surely there is some benefit in this, too, and maybe time will tell.

Is osteopenia reversible?

WCoastbaba
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« Reply #1 on: Jun 01, 2009 03:26 PM »

 walaikumsalaam

Bro - According to my textbooks and other sources, Osteopenia isn't reversible (as you probably know, its a decrease in bone density/mass) so my advise also would be too increase your Vitamin D intake (of course, sun exposure increases synthesis) through those food stuffs you mentioned. Both from my general knowledge, and what I have just looked up, such a condition  are more prevalent in women, and to be honest, I've never heard of a guy with this condition affecting men as much. But then again, what do I know! Anyways, I'm sure you know more than me at this stage from what it sounds like, so I hope there is improvement after some time. Let us know.

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« Reply #2 on: Jun 01, 2009 04:49 PM »

Future Dr. desibro BABA (inshallah),

Can the path from osteopenia to Osteoporosis be stopped?


 thobebro
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timbuktu
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« Reply #3 on: Jun 01, 2009 05:10 PM »

peace be upon you

Osteopenia is less likely in males, but it does occur, more so after 50. Steroids also cause Calcium loss from the bone (where else Smiley ) And I have had high doses of steroids, plus regular steroid inhalers. I am going to talk to my medical consultant about not warning me of Calcium loss.

Funny thing is my wife is a doctor. All her colleagues are my friends, too, and I have been complaining about pains and inability to keep myself straight. All in this circle paid no attention. Not even when I had fractures in both feet for no reason. It is only when I lost use of my right arm and my young nephew saw the xray that he suspected osteoporosis. My sister told me he is right, and I should start Bonviva or Fosamax. And get a dexa scan. I had to keep pestering the consultant for prescribing this dexa thing. The wife was still dismissive of this, until the results were in today. Don't know her reaction yet. She defended the delay: "But they have no money left". You wouldn't expect this from your spouse, would you. It would indicate her concern is for the financial health of the organization, and not the medical health of her husband.

Well, she is in the Hospital Administration.

Males do get osteopenia/osteoporosis. Even athletes. I searched the net:

High-impact exercise may be best bone-builder

I ate loads and loads of Calcium in my childhood, and a weakened bone matrix was the last problem I expected.

I lost half an inch in height, and 4 kg in weight.

You live and learn.

Wonder how much learning is left. Smiley
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« Reply #4 on: Jun 01, 2009 10:02 PM »

As-salaamu alaykum,

My mother (first) and then my father (later) were also diagnosed with ostopeonia, but have subsequently gotten a much better diagnosis post-treatment. They were pretty good about taking their meds (Fosamax, Actonel, etc all claim to stop and reverse bone loss in certain places).

I had studied osteoporosis years ago, and found the following:
* The incidence rate of osteoporosis and osteopenia is pretty high among Asians. Most don't know they have it, and end up accepting life with lower quality of life, broken bones, pain, etc.
* Soda, coffee, tea (caffiene) really need to be eliminated (or at least severely reduced) for calcium to be absorbed properly
* Your bones doesn't just require Calcium and Vitamin D (sun is best, then supplements) to be absorbed, but also needs protein (plant and fish based is preferred, then meat sources), boron, magnesium, etc.
* Exercise also helps reverse bone loss: weight-bearing exercises is best. Not high-impact, not heavy weights. Done regularly. Yoga is great, too, since it is naturally weight-bearing.
* Traditional natural remedies are on the rise: Indian (Amla) and Chinese (Herba Epimedii/Yin yang huo) are both used for bone related problems.
* Consult your physician, and any other health care practitioners that may help you before using supplements/meds.

Some helpful sites:
http://blogs.timesunion.com/holistichealth/?p=340
http://www.ncbi.nlm.nih.gov/pubmed/18296321?ordinalpos=21&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
http://www.connecticutcenterforhealth.com/osteoporosis-treatment.html

was-salaamu alaykum,
sofia

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« Reply #5 on: Jun 02, 2009 07:19 AM »

Salam alaikum

Please excuse my very short reply:

Osteopenia is definitely reversible, and you can prevent it progressing to osteoporosis.  Drugs like Fosamax have been shown to do just that. I have seen the results, mashaAllah.  Our health insurance pays for it, so I have no idea what it costs... After you start taking the meds (for Fosamax if I recall correctly, its a weekly dose), you will have serial dexa scans to monitor your progress.  your bone density will definitely (bi'ith nillah) improve, and our fracture risk will decrease.  SubhanAllah, I can't remember much more...

I pray that you will Allah swt will open a way for you to get the meds, and grant you complete Shifaa from all your ailments.

Salam
S. purplehijabisis
timbuktu
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« Reply #6 on: Jun 02, 2009 05:18 PM »

peace be upon you

From what I have read, there can be considerable improvement in BMD, but Fosamax and Bonviva retard bone buildup as well as bone loss. For a buildup, the bone material must first break up. The side-effects and the precautions are deterring me from starting this medication. The wife took my report to my medical consultant who has now prescribed Fosamax. He says it is a must for I have been on steroid inhalers. My sister also says the same.

My orthopedic surgeon told me there was a clinical meeting where my case and another were discussed and the conclusion was to increase my vitamin D intake, drink lots of milk, keep to my normal activities, and I should be all right. We will go for another dexa scan after six months.

I really would rather not take these medication. Opinions on the health support site I have joined are mixed on the issue, but most also agree that a holistic dietary and exercise regime is better.

Even at my age, can there be a recovery of the bone strength?

I sure hope so. Today was much better. I had much less pain.
alHamdulillah.
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« Reply #7 on: Jun 04, 2009 12:05 AM »

As-salaamu alaykum, Br. Timbuktu,

I'm not big on traditional medicine or pharmaceuticals. In fact, most of the everyday remedies we use in our family are alternative/tibb/ayurvedic/chinese.

But with all due respect, please consider taking the meds. So far, they seem to work the best for osteoporiosis and ostepenia, Allahu A'lim. And of course, follow Dr. Shahida's advice. Smiley
I'm not a doctor, I've just seen the results with my very own eyes.
No pressure.

 sis

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"Our Lord! We believe, so forgive us, and have mercy on us, for You are the Best of all who show mercy!" (23:109)
"And hold fast, all together, by the rope which Allah (stretches out for you), and be not divided among yourselves..."(3:10)
timbuktu
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« Reply #8 on: Jun 04, 2009 08:00 AM »

peace be upon you

OK, I have taken the plunge. Started Fosamax from today. Smiley It is my wife whom I am more worried about, for her diet so far (from childhood) has had no milk, no meat (until very recently), very restricted in quality and quantity. Whenever I have pointed it out that it is insufficient and unhealthy, she has retorted that it is she who would suffer, not I. A very unreasonable reply, but I have not ben able to sway her to be reasonable.

Today I enlisted the help of our medical specialist. He has promised to make her go for a total medical checkup. Hope she agrees.
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« Reply #9 on: Jun 04, 2009 09:45 AM »

salam

I'm not a medic obviously.

But I was told once a million years ago that milk isn't the most efficient way of absorbing calcium!!!

They start doing bone density checks on women once they reach menopause as procedure along with regular hormone checks. You know I have no idea what they do for men though!

Hope your health improves inshallah.



Wassalaam

And when My servants question thee concerning Me, then surely I am nigh. I answer the prayer of the suppliant when he crieth unto Me. So let them hear My call and let them trust in Me, in order that they may be led aright. Surah 2  Verse 186
timbuktu
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« Reply #10 on: Jun 04, 2009 10:41 AM »

peace be upon you

Concerning my wife's diet, she hates vegetables, milk, honey, eggs, fresh yogurt - she is willing to take small doses of processed yogurt (the ones that come in sterile packings), meats (fish, mutton, beef, (a few grams of chicken breast is OK with her), very few types of fruit,

I discovered upon marriage that the only things she liked were rice, noodles, macaroni, parathas, potatoes. I don't think anyone would call that a sufficient or a healthy diet. I pointed out that this would cause cause high blood cholestrol, and I would rather she did not become overbearingly fat.

She reduced her favorites foods intake, without adding any healthy ones. She does take lentils now.

On the contrary milk, I have always been told, is the perfect diet - contains most nutrients, minerals and supplements in the right proportion. Milk and honey - two things most liked by our Prophet (saw). Some people unfortunately are allergic to or unable to absorb these. I am not one of them.

In the UK they add Calcium carbonate to wheat flour. Here in Islamabad the natural groundwater contains very high amounts of Calcium and Magnesium, but it usually causes stomach upsets. We have been using boiled water, but that removes all the minerals, and of course there is no vitamin D in groundwater. But one gets it from the sunshnle which is aplenty here. I have found a source of fresh groundwater that isn't causing any stomach problems, do I have moved to that source, but the wife insists upon the boiled water.

I should insha`Allah be OK. It may take some time, but the greater worry is the wife.

The natural diets speak of 80% alkaline, 20% acidic foods. I am finding the milk and yogurt very tasty indeed. And I am eating more tha the usual. Feeling hunger in this heat is a good feeling. My body wants to build itself up. Smiley

Checks for bone density are a must for those taking corticosteroids over three months or more. My consultant should have prescribed these with the steroids. There are other conditions when it has to be done.
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« Reply #11 on: Jul 01, 2009 02:46 PM »

salaams,

I hope the meds work Bro timbuktu. Seriously. I went for a xray not too long ago for a wrist injury playing volleyball. My aunt looked it over and noted the radiologists notes. (some early bone degeneration). I said 'what the heck is this?!'. I'm 31 years old with BONE DEGENERATION!!! I eat right, exercise (weights etc). Goes to show. I'm thinking all of it was not being absorbed. Still trying to figure this out. Who knows. Maybe it was just a bad scan. Point is, take your meds. Smiley

-peace and love
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« Reply #12 on: Jul 01, 2009 10:05 PM »

salam

Calcium stores are apparently made up when we're young. Apparently taking supplements when we're older doesn't help that much!!!

I read about that somewhere (mebbe I'm wrong?)

My little sister's teeth tend to crumble for no reason, the Dr. says it's because my mum didn't have an adequate calcium intake when the foetus (my sister) was laying calcium.... I think that's what he said anyway!

Get a bone density check and see what the Dr advises.

I've been a bit under the weather lately as well, and got a bit of a shock too!!! Apparently I might have a heart thingy and I'm also 31!!!! I told the Dr, that up till he mentioned the possibility of my having a heart attack right then I had felt fine (apart from the small niggles which had ended up with me there in the first place)!

Duas all round methinks!

Wassalaam

And when My servants question thee concerning Me, then surely I am nigh. I answer the prayer of the suppliant when he crieth unto Me. So let them hear My call and let them trust in Me, in order that they may be led aright. Surah 2  Verse 186
timbuktu
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« Reply #13 on: Jul 02, 2009 02:03 PM »

peace be upon you

salam

Calcium stores are apparently made up when we're young. Apparently taking supplements when we're older doesn't help that much!!!

I read about that somewhere (mebbe I'm wrong?)

Bone is made of living cells. Like all cells, it is also constantly being broken down and rebuilt. When one is older, the process of rebuilding is slower. Hence it is important to have a healthy bone matrix in young age, but some at least of the lost bone can be recovered. On Osteopenia support sites many are claiming to have bettered their dexa scans.

Quote
My little sister's teeth tend to crumble for no reason, the Dr. says it's because my mum didn't have an adequate calcium intake when the foetus (my sister) was laying calcium.... I think that's what he said anyway!

Get a bone density check and see what the Dr advises.

Yes, that would account for your sister's weak teeth, but she can still build up the Calcium.

Quote
I've been a bit under the weather lately as well, and got a bit of a shock too!!! Apparently I might have a heart thingy and I'm also 31!!!! I told the Dr, that up till he mentioned the possibility of my having a heart attack right then I had felt fine (apart from the small niggles which had ended up with me there in the first place)!

Duas all round methinks!

I hope it is not serious. There are some duas for heart condition. When I find one, I will insha`Allah post it.

Seriously. I went for a xray not too long ago for a wrist injury playing volleyball. My aunt looked it over and noted the radiologists notes. (some early bone degeneration). I said 'what the heck is this?!'. I'm 31 years old with BONE DEGENERATION!!! I eat right, exercise (weights etc). Goes to show. I'm thinking all of it was not being absorbed. Still trying to figure this out. Who knows. Maybe it was just a bad scan. Point is, take your meds. Smiley

My sister is a sedical specialist in Karachi, and she tells me she is seeing girls in their early twenties with Osteoporosis.

Take your meds, get plenty of sunshine, and your minerals and proteins and vitamins etc. Eat heartily and burn the fat with exercise.

I have read cases of people who do what you do, and yet have Osteopososis. Maybe there are other unknown factors, too, but in most cases, people are reporting betterment with meds and/or alkaline diets.

Everyone should take regular checkups, and live healthily.
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