July 31, 2012 Leave your thoughts

There Ain’t No Such Thing As A Free Lunch.  As true now as when Robert Heinlein shortened it to TANSTAAFL.

Every medication has benefits and risks.  Every decision to not take medication has increased risks as well as the avoidance of those risks medications may carry.  The trick is to put the benefits and risks into a proper balance based on your individual pre-existing risks.

The NIH definition of Osteoporosis is an Increased Risk of Fracture.  Genetics, age, smoking status, steroid medications, low calcium intake, low Vitamin D levels all contribute to Fracture Risk.  Some of these are addressed in FRAX.  A full bone health evaluation can determine the magnitude of your fracture risk.

Perhaps you can Take Control Naturally with the right amount of Calcium, Vitamin D3, exercise, avoiding smoking, etc.  These measures are often sufficient when fracture risk is low.  They are necessary in all cases.

The benefit of every osteoporosis medication is to Decrease Fracture Risk when the risk is high.  Your risk for each medication is determined by the details of your medical conditions.  The FDA warnings cover many risks which are extremely rare, as well as some more common.  A full discussion with your doctor or PA or NP will help you determine which risks apply to you.

Every action and inaction carries risks.  Take control by getting a full evaluation and full consultation.

Jay Ginther, MD

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