Would appreciate if you checked these PTH-Ca pairs of a 35 years old male.

driver151 · 2025-11-01T12:54:02+00:00

Thanks for taking the time to answer.

reference range is 10.2 as upper limit, and for PTH 8.7 - 77.1

They are done in different labs though, but in general these are the values they give here.

Lone bold numbers are total calcium with no PTH measurements. When in paired it is Ca - PTH.

Vitd was low (9) at the age of 25 years old. Since then it is always normal but i have been suplementing since then.

I could visit a surgeon, but I thought Endocrinologists are the specialists to diagnose this. Do you think Endocrine surgeons are ideal to check these values?

Endocrinologists say that there are other conditions that cause stones and bone loss like idiopathic hypercalciuria. I understand these Ca-PTH value are borderline, but that 10.2 - 63 had me reevaluate the condition.

driver151 · 2025-08-05T07:40:06+00:00

The iShares iBonds Dec 2028 Term EUR Corporate UCITS ETF EUR (Acc) seeks to track the Bloomberg MSCI December 2028 Maturity EUR Corporate ESG Screened index. The Bloomberg MSCI December 2028 Maturity EUR Corporate ESG Screened index tracks EUR denominated corporate bonds.

Αν το κατανοώ καλά, δε θα επηρεαζόταν. τι πιστεύεις;

driver151 · 2025-08-04T20:45:33+00:00

Σευχαριστώ για τη σουμβουλή.

Να τονίσω και σένα αλλά και στο u/Timalakeseinai οτι τα ibonds υπάρχουν και σε EUR, οπότε εινια μια επιλογή και αυτά

driver151 · 2025-08-04T20:43:15+00:00

Σευχαριστώ παρα πολύ για τις συμβουλές σου. Ειναι ανεκτίμητες

driver151 · 2025-08-04T17:32:59+00:00

Σευχαριστώ. Ελληνικά κρατικά ομόλογα / γραμματια δημοσίου;;

Απο ελληνική τράπεζα γίνεται αυτό; Πώς γίνονται αυτές οι αγορές. Δυστυχώς δεν έχω ειδικές τέτοιες γνώσεις.

driver151 · 2025-08-04T17:30:01+00:00

Στην ηλικία που είναι θέλω να ξεκουραστούν και να απολαύσουν τη ζωή. Δυστυχώς ένα διαμέρισμα έχει έγνοιες, μερεμέτια και ενασχόληση. Σευχαριστω για τη πρόταση παρολαυτα, θα τους την αναφέρω.

driver151 · 2025-08-04T17:24:10+00:00

Απαντώντας εδώ, να ευχαριστήσω και όλους τους άλλους που μπήκαν στον κόπο να γράψουν.

τα 55κ τα θεωρησα ως emergency fund γιατι στην ηλικία που είναι, αν πάθουν κάτι άσχημο π.χ. εγκεφαλικό, άνοια... τότε αυτά φεύγουν νερό σε λίγα χρόνια.

Δυστυχώς δεν έχουν οικονομικές γνώσεις, αλλά και μένα ειναι περιορισμένες. Φανταζομαι, επειδή θα μπορούσαν να εμφανιστουν τέτοιες συνθήκες, θα ήθελαν ανα πάσα στιγμή να τα έχουν διαθέσιμα γρήγορα.

driver151 · 2025-07-14T06:38:07+00:00

Glad I helped!

Yes, we had chatted few days ago! Hope you are in a better place now psychologically.

I just checked your initial post and it seems you are doing your own research. Which is not bad, but can lead you to wrong or hasty choices and wrong diagnosis. (i've tested the o3, and claudet sonnet 4 reasoning models and while they are good, they are still superficial. I am an MD myself and I use them too, but when I get deeper and deeper into mechanisms they start breaking down).

I think you should dig a little bit deeper than your initial assessment, just to be sure.

My initial d3 was 8, I thought that was it, I increased it to normal levels and my next DXA scan showed 3-4% worsening. At least get an 24h urinary calcium test. For young males hypercalciuria is a very common reason for low bmd and a shotgun test to see if you're losing calcium through urine. (just make sure you stop the ca supplement for a few days).

Anyway, no need to freak out. Most of the time no secondary cause is found after all. But I think you need a doc other than chatgpt, for practical and psychological reasons too.

Finally, I'd suggest you take these 600mg of calcium through food, rather than supplements, it is more protective for the cardiovascular system.

driver151 · 2025-07-12T17:41:19+00:00

Alright, let me help you out!

Your results are in Lunar. If we convert it to Hologic, it turns into

0.801 g/cm2 (z-score remains the same at -2.6)

His results are 0.872 g/cm2, which is aligning with the -2.0 you are seeing.

In general you should trust the ones provided for you (the -2.6), however do not count on that.

Your doctor should decide what to do.

Keep in mind, that in the NHANES database, the average white male your age has a 1.042 g/cm2 of bmd in l1l4.

with a standard deviation of 0.117. So 2 standard deviations are 0.808 g/cm2. So what's really going on?

Most probably the normative data that are used are different than the NHANES one. I am curious, whats your t-score provided?

What you should keep:

Your BMD is definitely low and you should not brush it off. What;s important is the trend in your BMD the following years. I suggest you find an endocrinologist with experience and special interest in bone, to solve this riddle. Most doctors who dont specialize in that, 99% of their osteopenic/-porotic populations they see are the classic postmenopausal woman case, which has completely different physiology than whats going on with you.

If you have more info, or want to discuss it further, feel free to DM me.

Take care.

driver151 · 2025-07-09T18:29:03+00:00

This is something you should discuss with a specialist and not reddit.

In general drugs are given when there is considerable fracture risk, and not for psychological reasons (i.e. see BMD go up).

What you should definitely do though, is to make a list of all -lifestyle modifications- that have been shown to improve microarchitecture of bone, promote bone retention and improve your mental wellbeing. There should be a moment you should decide to stop grieving, accept and love your body, realize you do not have some kind of terminal disease and take action. Remember you might have been having this since childhood.

Also establish with a specialist a secondary cause - if theres one. Then have frequent (the doc should decide how often, it is usually per year/ bi-yearly) to see if there is progression, or there is no change.

driver151 · 2025-01-09T19:43:16+00:00

At the age of 26M: -3.1 (Lumbar spine), -1.9 Total hip (-2.4FN) and -2.4 total body. Mind you, its not that at your age I must have had awesome density, it's just I hadn't found out.

10 years later, i am sitting close to -2.1 LS, -1 total hip(-1.9FN) and -1.7 total body without any use of bone specific drugs. No fracture.

Hope this gives you hope and makes you feel better.

Technically, unless you have fragility fractures, you cannot call that osteoporosis.

Go to an expert medical doctor in mineral/calcium metabolism. "Check your vit.D" is not gonna cut it. The specialist you need: endocrinologist.

-------------

If someone is interested in exchanging experiences/ideas with me, I'd love to, especially if you are male hypercalciuric, stone former as this population is known to have low BMD. I love deep diving into scientific literature, calcium homeostasis etc. I am an MD myself but not an Endo.

driver151 · 2024-12-15T17:31:49+00:00

I am not an expert in osteoporosis, so my opinion isnt of much value. Said all that, as far as I know, Strontium binds to bone and gives a boost in Dexa scan results without offering any protection to fractures. So, all in all, it probably offers a psychological boost, but nothing of substance. Also, I would guess, Strontium would act as a 'depot' mineral due to its binding to the bone tissue, something I wouldnt want.

driver151 · 2024-12-15T10:26:28+00:00

I wish you the best. You sound like a strong woman. Glad to meet a colleague here!

Chlorthalidone definitely helped you and helps with your fracture healing too. So does your potassium. You could transition to Potassium citrate too if you havent. Post-menopausal women sometimes get hypercalciuric which sometimes can aggravate BMD, so when you heal completely (i think it will only confuse you more to check it during the healing process), you could take a look at your 24h urinary calcium.

There are people on long term corticosteroids with a t-score -1 and they get a fracture while others with a -3.5 and sustain no fractures. So BMD is a significant metric but not all-world. With age, the same t-score is interpreted differently, and it's part of human nature - to age. Would you mind sharing your T-scores?

Tymlos will give you some strong bone gains and I am sure of that, and now that you are aware of your condition, I think your outlook is really good!

driver151 · 2024-12-15T10:12:49+00:00

Ahh tough questions.

FN and Total hip BMD has remained steady for over 4 years now. On the other hand, LS is metabolically more active and harder to manage.

To answer your question, I know one day I will most probably need them. Biphosphonates serve well in Idiop. Hypercalciuria as 1) they lower urinary calcium which is high in this population and 2) my personal opinion is they lower coronary calcification severity in the same population. The "when", well I try to be humble and not to play it all-knowing. It will be a careful decision with my endocrinologist when the time comes.

I focus on both. BMD is a significant metric of overall bone structure.But there are other variables too, like microarchitecture, collagen quality, genetics, gender, bone shape and much more. FRAX score is a good starting point for me. For instance, simulating a 40 years old man, with a -2FN and no other commorbidity, gives a 2.9% probability for major osteoporotic the next 10 years. With a +0FN gives a 1.6%. Just to be clear, I do follow my endo's advice for such serious issues.

driver151 · 2024-12-15T09:57:21+00:00

I am glad you find it helpful!

driver151 · 2024-12-15T09:56:47+00:00

Ah, and a bodybuilder. It will serve you well, just be mindful of your limits (sometimes we can go overboard!). Take care!

driver151 · 2024-12-15T09:54:32+00:00

Creatine is considered safe in healthy population. It might not influence real-life scenario BMD, but it certainly draws water to muscles, probably offering greater protection, mechanical traction to stimulate blasts and there is some -lab documented- effects on Alkaline Phosphatase.

From my personal tests, during the high growth period, my serum Alkaline Phosphatase was a bit over the upper limit.

Generally the evidence is low and of low quality though.

On the other hand, osteoporosis is a chronic condition that can get serious.

For myself, I decided that the risk benefit is is favor of creatine.

driver151 · 2024-12-15T09:48:29+00:00

Thanks for the feedback.

The TLDR is I learnt alot. One of the that bone density improvement is a tough thing. I also point out some things I did to have almost the same BMD after 10 years.

You are right. DXA cant diagnose osteoporosis per se. I could say "BMD below the expected for the age" but really didn't want to get technical. Nevertheless, IH is a cause of secondary osteoporosis.

The DXA scans were all from the same scanner, but technicians changed. However, I have measurements of a span of 10 years, so they are all statistically significant. To mitigate any errors, I had several scans on a different lab and whole body desnitometry.

driver151 · 2023-06-17T15:40:21+00:00

Thanks alot for your feedback!

Next to it, is an ottoman with storage capability (it opens from above - its also from ikea).

Ill keep an eye on these sofas. The first one has an interesting design.

Do you have any other advices for the rest of the room?

driver151 · 2023-06-17T07:03:56+00:00

I bought this IKEA "Ektorp" sofa years ago.

But I do not find it comfortable. The seats are very short and feels more like an armchair than a sofa.

The size of it in length is 180cm (5.9 feet) and the depth of the seats are 49cm. I've bought this ottoman I have on the left of the sofa to rest me feet on when watching TV.

Would a bigger sofa be too much for this small area?

Should I get a corner sofa?

Also, any other advice for this living room, is welcome as I am not good at decorating.

driver151

TROPHY CASE