That's what my rheumatologist said when I asked him about medications for osteoporosis. He wasn't just ignoring the problem, but referring me on to another rheumatologist who specialized in osteoporosis.
I had been sent for a DEXA scan after 20 years with RA and at the first scan, which is used as the baseline, I was well below normal bone density. My GP doctor told me to take calcium supplements and we'd see what happened. Over the next three years even with calcium, vitamin D, and hormones it just kept dropping. In that period I even exercised. When I went to the osteoporosis clinic they reviewed my diet for natural sources of calcium, kept me on the HRT, and upped the calcium and Vitamin D.
The picture is from this blog: http://www.kksphotos.com/blog/ which has a great series of posts on Bones and Hormones from an Osteoporosis Educator.
When I went back a year later my bone density had plummeted to the level of actual osteoporosis, not just osteopenia. At that point they prescribed a bisphosphonate - Fosavance. I took it weekly for the next four years and every year the density improved.
When they decided that the time had come to stop the prescription I protested because I was afraid that it would drop again. Now, one year and one scan after stopping the bone density drug, it has gone up yet again and is a little better than normal for my age and better than the baseline.
Don't take it from her. Smoking is bad for your bones.
That improved score leaves me wondering. I have read that osteoporosis is systemic, so if the bone density goes up does that mean I no longer have that condition? I will be looking for that answer.
It is also worth noting that during the last 5 years with the great improvement I have been taking a biologic drug and I have stopped drinking Cola soft drinks. That may have helped also.