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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Go For Further Checks After Being Diagnosed With Osteopenia And Low Bone Density?

Hi, I am a 22 years male. I have been diagnosed with osteopenia with a T-score of -1.0 on spine and -1.5 on femur.
Following this I got my vitamin D checked (25-hydroxy test) and it came out to be 8ng/mL. I think that the low bone density is due to the lack of calcium caused by vitamin D deficiency. I got a throid profile performed and all results came normal. I am thinking of getting a calcium serum check to find out the calcium levels. I have also started taking vitamin D 10000-15000IU per day. Do you think I should get any further checks done? I also seem to have gluten allergy /celiac disease (eating wheat seemed to cause some digestive problems that went away when I stopped taking wheat) and have stopped eating wheat.
Do you think I should get any further checks done? I am thinking of checking for mineral deficiency in my body.
posted on Sat, 11 Jan 2014
Twitter Sun, 12 Jan 2014 Answered on
Twitter Mon, 13 Jan 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

I agree with you regarding the possibility of gluten allergy, because of which you are suffering from malabsorption syndrome.

Your Vit D level is really low. But, taking Vit D WITHOUT Calcium supplement, will be futile. You should ideally take Calcitriol (Vit D3) 0.5-1.0 micrograms / day, along with at least 1000mg/day of Calcium carbonate.

Further, osteopenia denotes protein deficiency. hence, you should have a high protein diet.

I would suggest that you get

* Blood Parathormone levels estimation done to rule out/detect hyperparathyroidism

* Kidney function tests to rule out/detect underlying kidneys problem.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.


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Take care

Dr. Rakesh Karanwal
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Should I Go For Further Checks After Being Diagnosed With Osteopenia And Low Bone Density?

Hi there, Thanks for your query. I agree with you regarding the possibility of gluten allergy, because of which you are suffering from malabsorption syndrome. Your Vit D level is really low. But, taking Vit D WITHOUT Calcium supplement, will be futile. You should ideally take Calcitriol (Vit D3) 0.5-1.0 micrograms / day, along with at least 1000mg/day of Calcium carbonate. Further, osteopenia denotes protein deficiency. hence, you should have a high protein diet. I would suggest that you get * Blood Parathormone levels estimation done to rule out/detect hyperparathyroidism * Kidney function tests to rule out/detect underlying kidneys problem. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal