HEALTHY BONES AND RISKS YOU CAN’T AVOID: SHAWNA’S STORY
Shawna had been struggling with bulimia for a long time when she went to my colleague, endocrinologist Dr. Ed Klaiber, because she hadn’t had a period for over three years. Fair and small-boned to begin with, Shawna now had almost no body fat. When she had her estrogen levels tested, they were very low. Among other things, that put her bones at risk. Unfortunately, a bone density scan confirmed her doctors’ fears: 25-year-old Shawna had the bones of a 65-year-old woman.Working with her regular doctor, she finally seemed to be getting her eating disorder under control at this point. Following Dr. Klaiber’s advice, she also began taking Fosamax and estrogen. Combining therapies in this way was unorthodox at the time, though studies now confirm that various drugs in combination provide increased responses over any one alone. It surely worked for Shawna: she’s gotten back 18 percent of her bone in one year.*24\228\2*
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