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Truvada Osteoporosis Switch to Epzicom
Apr 8, 2012

I am on Truvada Reyataz and Norvir since 2007 when diagnosed with HIV. My bone density went a little worse now and although still osteopenia stage, I am borderline osteoporosis with my left arm. I want to avoid this from progressing. I am 56 years old. Should I switch to Epzicom or another med and get rid of Truvada since there are so many cases linking it to osteoporosis. I do not drink or smoke. I just stopped taking Zantac to improve the absorption of nutrients. What do you think? Any other suggestions of supplements I should take or other meds out there better than Epzicom. Thanks

Response from Dr. Henry

If you had a DEXA scan for many areas and only have borderline osteoporosis in one arm that is not a cause for panic. I would have your FRAX score calclulate as well as vitamine D levels (and testosterone if a male). Calcium and vitamin D supplementation are recommended and sometimes use of a phosphonate drug if more severe osteoporosis or worrisome FRAX score. Switching to Epzicom from Truvada may help modestly but data is still limited on that issues. KH

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