### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have osteopinia. I have had it now for 4 years. I am 58 years old and I have been either on fozamax or actonel. Both with side effects after taking each for 4 months or longer. ( fatique ,aches and lethargic) Actonel has been more tolerable. Does it benefit me to take medication when it is not constantly improving density to do so? After the first two years my density improved somewhat, but now after my last test it seems to be about the same. I am very active. I run, do body fitness with weight bearing regularly and yoga . I watch my calcium intake and vitamin D which I have been tested for which showed I was not deficient.

### output:

Hi welcome to ChatDoctorostteopenia is the precursor of osteoporosis. There are 3 major cause of lowering bone mineral density- 1) deficiency of It D and calcium 2) inactive of it D receptors by certain inflammatory cytokines result from the presence of few microbes 3) low level of estrogen in case of menopause. As your it D and calcium level is normal, so you have the others causative factors like It D receptor inactivation and low estrogen level. If you will go for a proper homeopathic treatment that things can be solved. It is needed a some detail physical symptoms to suggest some homeopathy remedies like i) how is about your sweats? More sweats than other?, ii) do you have any burning sensation of hands or palms or legs. iii)are you susceptible for catching cold easily iii) do you have any hot flushing of face and any part of body. iv) do you prefer egg mostly in your diet.etc. So if you want to consult me can contact here. Thank you