<s>[INST]recently diagnosed with osteoporosis. -2.6. had calcium oxalate stones removed years back that s why i ve never taken calcium supplements. taking eltroxin lifetime maintenance since toxic thyroid surgery 40 plus years ago. what to do? should i see an endocrinologist? is it true thyroid and osteo medications are not good together? had cortisone injection on planter fascitis on right heel 3 years ago,is this caused by osteo?[/INST]Hi, Yes, it is not advisable to take thyroid and osteoporosis medications together. To ensure adequate absorption for the intestines Elton should always be taken on an empty stomach 2 hours before breakfast. If taken along with osteoporosis medications, Elton absorption will be reduced thus lowering its therapeutic usefulness.  Hence, osteoporosis medication should be taken 3-4 hours after Elton. Plantar fasciitis is one of the most common causes of heel pain due to inflammation of a thick band of tissue that runs across the bottom of the foot and connects your heel bone to your toes (plantar fascia). It is not caused by osteoporosis. Hope I have answered your query. Let me know if I can assist you further. </s>