It depends on what is going on. A maintenance dose is 5mg daily. A dose pac of 40 mg titrating down to 5 mgs. Now I only take it when in a flare up. Yes I do have osteopenia but it’s not bad. It is such a individual thing.

I only take Predisone when I’m in a flare. I do a 10 day tapering dose. I do have osteoporosis but I can keep it in tack better this way. I take vitamin C, vitamin D, calcium with magnesium, collagen, and vitamin B with a stressor reduction.

I have been on prednisone for 35 yrs and thank god I do not have osteoporosis. Take calcium and vitamin D very important.

thanks all. @A MyLupusTeam Member I already have cracked teeth, I've had scoliosis since childhood but lost an inch of height in the last few years, and when I get the chest X-rays for my lungs we can see what rib or ribs I've fractured between X-rays. I have to choose between my skeleton and my lungs. @A MyLupusTeam Member thanks for those articles. Not good that the Prilosec I take daily also causes osteoporosis. I read elsewhere that Prilosec has a beneficial effect on the lungs besides keeping the tummy happy.

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Doctors are too quick to say osteoporosis is irreversible though in some cases it’s too severe and that is likely. I did a quick search and it looks promising to regain some ground. I only looked briefly and didn’t read in depth though I did see the two drugs you named mentioned. I remember reading some time ago about a book describing a method that went beyond western pharmacology but have not been able to remember the name.
But here are a couple articles that may contain helpful information https://www.nbihealth.com/top-natural-ways-to-r...
https://www.naturalmedicinejournal.com/journal/...