Use the Anabolic, Forteo, First => Then Use an Antiresorptive

Recent studies have shown that the order in which we use osteoporosis medications matters.  Traditionally most docs have used Antirsorptives first to preserve bone.  All osteoporosis medications except one are Antiresorptives....

Osteoporosis Medications Reviewed

Recently a patient asked me to review all osteoporosis medications for her to consider and choose from.  We had already optimized her Calcium intake, 25-hydroxy Vitamin D level, Protein intake, Multiple...

Anabolic Medications Make New Bone

Anabolic medication for osteoporosis actually increases bone thickness and strength!  Antiresorptive medications for osteoporosis (Fosamax, Alendronate, Actonel, Atelvia, Boniva, Evista, Reclast, Prolia) only preserve bone. We have talked about all...

Aromatase Inhibitors for Breast Cancer

Aromatase Inhibitors (AI) do a great job treating Breast Cancers which are Estrogen dependent.  The AI wipe out all Estrogen thereby depriving the breast cancer of a needed stimulus. Unfortunately,...

Denosumab – Prolia – OPG Analog

Denosumab (Prolia) mimics the natural process that keeps OsteoClasts (the cells that gobble up bone) under control before menopause.  OsteoCytes release Osteoprotegrin (OPG) when Estrogen (or Testosterone) is on board....

A Delicate Balance

A delicate balance between bone formation and bone resorption is needed for Healthy Bone.  This balance is naturally present until menopause in a woman or “Low T” in a man....