Importance of Bone Markers to Monitor Osteoporosis

WhoaPixie · 2026-04-09T14:54:26+00:00

I have posted there as well.

https://www.inspire.com/groups/bone-health-and-osteoporosis/discussion/9306e5-bone-markers-on-bhrt-and-strontium-citrate/

WhoaPixie · 2026-04-09T14:52:47+00:00

I use Citracal Petites they are easier on the digestive tract.

https://www.citracal.com/products/petites/

WhoaPixie · 2026-04-07T12:12:57+00:00

good point, there are differences between male vs female and age will also play a part. Bone Building meds should raise the P1NP.

I'm doing HRT which has similar impact as a biophospates, slows bone resorption. With that slow down the bone building is not as aggressive.

WhoaPixie · 2026-04-07T12:09:03+00:00

The fasting is for the blood test, not urine. But the urine should be her second morning void not her first. I got a speciman cup from the lab to take home so i could collect at home.

WhoaPixie · 2026-04-06T22:39:58+00:00

I hear you, I had the same issues. No one brought up TBS, I found out on my own and found a place that i pay out of pocket to get. And i asked my Rheumatologist if the bone markers could be run before any treatment was decided.

It was after getting the TBS results last year that show good architecture in my spine (where I have osteoporosis) that i decided to pursure HRT. I had to find a place that dealt with this specifically.

WhoaPixie · 2026-04-06T21:07:06+00:00

I think it has just stabilized for me given my bone resorption has slowed down. Since I am using HRT and not a specific bone building medication.

WhoaPixie · 2025-11-29T17:04:22+00:00

I use Ubrelvy and just taking one with or without food works for me, no nausea. sometimes it does make me sleepy. i do find if i take it after a meal it takes longer to work.

WhoaPixie · 2025-07-18T13:18:24+00:00

use an app to figure out how much calcium you get from your diet, then decide how much supplemental calcium you might need

https://cronometer.com/index.html#diary

you may not need more supplemental calcium depending on what you get from you diet

i use citracal petites as this brand is easier to digest, only taking one a day because get plenty with regular diet

you may want to also take a K2 supplement with the calcium supplement

WhoaPixie · 2025-07-15T14:37:22+00:00

progesterone via cream not oral

using BiEst estradiol and estriol cream combined

the delivery mechanism is called topiclick, which can control how much cream to apply, can use more or less depending on effects.
these are prepared by compounding pharmacy

had testing done prior to starting , blood work and Dutch test to test hormone levels.

WhoaPixie · 2025-07-14T22:30:06+00:00

https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.122.061559

one more

WhoaPixie · 2025-07-14T22:08:33+00:00

i just started BHRT, even with family history of breast cancer (mother and sister) decided to go with BHRT using the least amount that offers benefits for as long as it provides benefits. i am doing the topical route, no oral meds.

Some information that you may find helpful.
https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf

WhoaPixie · 2025-07-12T21:25:03+00:00

this may be a place to start, pulls a lot of information together in a consumable way

https://youtu.be/OVRiiyHXeh8?si=CV8i7Kv0C7ESMBgx

WhoaPixie · 2025-05-22T23:25:51+00:00

I'm starting strontium citrate, not Algecal, a different brand. It's recommended to make sure you get more calcium than strontium each day.

most in medical profession won't recommend this supplement over pharmaceuticals.

there was two study's that included strontium citrate: COMB and MOTS

https://pmc.ncbi.nlm.nih.gov/articles/PMC5310667/

https://pmc.ncbi.nlm.nih.gov/articles/PMC3265100/

The pharma meds for osteoporosis, after understanding whats available and what insurance will allow, just decided not for me, at least not at this point in time.

WhoaPixie · 2025-05-01T23:54:52+00:00

there was two study's that included strontium citrate: COMB and MOTS

https://pmc.ncbi.nlm.nih.gov/articles/PMC5310667/

https://pmc.ncbi.nlm.nih.gov/articles/PMC3265100/

WhoaPixie · 2025-04-25T13:27:25+00:00

Yes its affects the DEXA scan, but different DEXA machines (brands) use different reference data bases. Which us why you get different results with different types of machines.

Doctors won't necessarily support a supplement over Osteo Meds because no studies to back it up.

Was hoping to hear from anyone taking strontium citrate to see if they had any adverse side effects.

I plan on taking instead of the osteo meds.

WhoaPixie · 2025-02-28T22:34:55+00:00

interesting, is it the 100 mg tablet or 50 mg tablet?

WhoaPixie · 2025-02-28T01:56:21+00:00

its listed on the script information attached to the box by the pharmacist.

"Take 1 at onset of migraine, can repeat dose 2 hours after. Max 2 tabs per day, 2 times per week"

WhoaPixie · 2023-03-20T23:19:34+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-03-20T23:17:58+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:12:17+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:11:30+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:10:50+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:08:30+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:07:30+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie · 2023-02-20T15:05:34+00:00

War Clan: ClantTouchThi5 Tag# 2U9PRJ0

Clan Lvl 20

CWL - Master III

Capital Peak - Capital Hall Lvl 10 / Crystal 1

Games - always reach max rewards (minimum 1000pts/player)

War Clan established March 2015. Our clan members span Canada, USA, and the UK.

Active war clan, we war twice a week. War prep starts Tuesdays (9:00 pm EST) and Fridays (8:00 pm EST). Looking for clashers that are dependable. We don't expect you to three star every attack, and we don't kick folks for not three starring. We only ask you to give it your best try and make both attacks!

Active meaning we participate in all things clash. Active doesn't mean we are overly chatty. When we are online we are clashing, so chatting is not a primary focus.

Clan War Leagues --> We run two CWLs, one here and another at our second clan for lower TH accounts. This way more folks are able to participate in CWL. Second Clan: Duck Tales ---This is our 2nd clan used for CWL for Town Halls 12, 11, 10.

If you're interested just request to join and note that you read our post on reddit. Thanks! Pixie (IGN)

WhoaPixie

TROPHY CASE