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Osteoporosis medications often get a bad rap… but the science tells a different story. Left untreated, bone loss can lead to fractures that steal independence, mobility, and quality of life. Think about the difference between confidently carrying your groceries or lifting your grandkids versus spending months recovering from a hip fracture, dealing with chronic pain, or losing the ability to live independently.

In this third and final episode of my bone health series, I'll break down the different osteoporosis treatment options, who they're best suited for, and what you need to know about side effects, safety, and timing—so you can make informed decisions about protecting your bones and your future.

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Eastside Menopause & Metabolism

00:55 - Why osteoporosis medications prevent life-changing fractures and protect your independence.

03:20 - Who needs treatment: T-scores, FRAX risk calculations, and Rose's story of preventable hip fracture.

05:10 - Bisphosphonates as first-line therapy: proper dosing, timing, and IV alternatives for pill intolerance.

06:43 - Denosumab offers an alternative option but requires careful transition planning to avoid sudden bone loss.

07:50 - Safety concerns addressed: drug holidays, dental work timing, and separating jaw risk facts from fears.

11:58 - Anabolic therapies for high-risk patients: teriparatide and romosozumab actually rebuild bone like in Sophia's case.

15:12 - Additional options: raloxifene for breast cancer risk, hormone therapy for prevention, and calcitonin for pain.

17:44 - Lifestyle foundations, monitoring consistency, and medication sequencing to maintain independence and quality of life.

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