OK, I am back from my rheumatologist appointment. The Dr. was very nice and spent time with me discussing my concerns, and he had much more detailed DEXA reports than the summary I was given – so more information than I had before… but not as much as I wanted.
However, he was not very concerned about the bone loss in the femoral neck – it seems that is very much within normal, expected limits for my age. So not a reason to suspect that anything else other than normal, age-related loss is happening – so no particular reason to do more bloodwork or testing.
He did recommend meds (like fosomax) but did not pressure – he said that with my numbers he would recommend meds, but that he didn’t think it was crazy to refuse or hold off on meds for now. He told me that he did not consider my BMD to be “very low” – he says he would use that term to describe numbers of -3.0 or below. So that’s encouraging.
When I first got my DEXA scores back on March 19, I posted:
I’m hoping my doctor doesn’t press medication now. I’m thinking I’d like to return to my exercise routine and schedule the next DEXA scan one year out, and see what the numbers show then.
That is exactly what the plan is now – another DEXA scan next year – the doctor said that would give me another data point, and that’s exactly what I’m thinking.
I did not ask him about exercise or supplements because he just didn’t seem particularly knowledgable about those things, and i’ve done a lot of research on my own so I feel I already have the answers.