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Re: GYN: MenostarFrom: Joanne Bulley, MD (islesannie@yahoo.com)Tue Sep 28 17:43:48 2004
I haven't prescribed it yet -- but it appears to help with osteoporosis even at the tiny dose -- and so it is a good option for someone who has or is at risk for osteo but doesn't want standard estrogen doses - or has side effects such as breast tenderness - &/or doesn't want Evista - Fosamax - Actonel (for risks associated with those drugs) Unencumbered by data -- it seems smarter to me to encourage the osteoBlasts to build bone rather than to paralyze the osteoClasts that break it down. Whenever I have asked a speaker at a conference about the use of bisphosphonates in the younger woman (<70) -- asking if you paralyze the clasts for 5-10 or more years and then she does break a bone -- due to a truamatic fall and not osteoporosis -- how is that bone going to heal if the clasts are paralyzed? I have gotten the same aswer each time I ask the question, "We don't know because we have not studied the bisphosphonates long enough" So ... unless there is a totaly contraindication I just won't prescribe bisphosphonates to someone who is 50's - 60's. Her PCP can do it if he or she feels strongly that it is OK. I am ready to hear others opinions -- as well as data! Joanne Joanne
At Tue, 28 Sep 2004, Garry E. Siegel, M.D. wrote:
>
-- Joanne Bulley, MD Keene, NH, USA
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