Hi Dawn,

I think it would be worth the effort of trying to obtain a copy of the
old report for yourself. That said, you should have some bloodwork done
to test endocrine function. Several hormones can cause bone calcium loss
when they are chronically out of normal ranges.

I imagine that the RA and bursitis has contributed to you being less
active and doing less weight bearing activity. That's perfectly
understandable, and may require weight training using machines at a gym
to allow you to exercise without causing you too much further discomfort.

You also need to take medication when it's full blown osteoporosis, not
just osteopenia. Just adding calcium and vitamin D is rarely enough, and
you need to get your bone density up to avoid stress and compression
fractures. Trust me: you're in enough discomfort from the RA as it is
without these! you may be able to stop the medication, or reduce it,
later but getting your bone density up needs to be a priority. I've had
great success with Actonel (the name may be different where you
are...which reminds me, I forgot to take mine yesterday!).

Regards,

Ari