u/Inevitable-Belt-7736

I’m 23 and recently found out I have osteoporosis in my spine and osteopenia in my hip :( I’ve been struggling with anorexia for the past 11 years, and things became especially severe last summer when I was hospitalized and very medically unstable at a BMI of 10.8. Needless to say, I lost my period multiple times throughout those years, with the most recent stretch lasting around four years. My bone problems are most likely related to my ED history and prolonged hypothalamic amenorrhea/low estrogen.

I’m now in a much better place, gained ~24 kg, sitting at a BMI of 19-20. And although my DEXA from a year ago showed low bone density, my TBS/microarchitecture score was slightly above average. A few doctors told me this may be a positive sign because I’m young and my bone structure/quality appears preserved, so with estrogen restoration + nutrition + time, there may be room for improvement. Still, I’m honestly terrified af and worried about what this means long-term. One of my doctors recently started me on low-dose estrogen + progesterone and my period has finally returned for the last three months 🙌

Right now I’m doing the main bone-health basics: resistance training, vitamin D+K2, high protein intake, FORTIBONE, but I’m looking for more recommendations/advice. I'm honestly so desperate and willing to try anything. Certain medication I should discuss with my doctors? Something that helped you? Is there any hope for me?

Thank you so much

I’m 23 and recently found out I have osteoporosis in my spine and osteopenia in my hip :( I’ve been struggling with anorexia for the past 11 years, and things became especially severe last summer when I was hospitalized and very medically unstable at a BMI of 10.8. Needless to say, I lost my period multiple times throughout those years, with the most recent stretch lasting around four years. My bone problems are most likely related to my ED history and prolonged hypothalamic amenorrhea/low estrogen.

I’m now in a much better place, gained ~24 kg, sitting at a BMI of 19-20. And although my DEXA from a year ago showed low bone density, my TBS/microarchitecture score was slightly above average. A few doctors told me this may be a positive sign because I’m young and my bone structure/quality appears preserved, so with estrogen restoration + nutrition + time, there may be room for improvement. Still, I’m honestly terrified af and worried about what this means long-term. One of my doctors recently started me on low-dose estrogen + progesterone and my period has finally returned for the last three months 🙌

Right now I’m doing the main bone-health basics: resistance training, vitamin D+K2, high protein intake, FORTIBONE, but I’m looking for more recommendations/advice. Certain medication I should discuss with my doctors? Something that helped you? Is there any hope for me?

Thank you so much