Brief Answer:
Explained below..

Detailed Answer:
Hello XXXXXXX
Thanks for posting your query in HealthcareMagic,

I have gone through your query and would be addressing it in detail:

1) the level of serum calcium in your body is not considered as low in relation to your age. Bone density test is not ideally required for you. Men above 70 and women above 65 years of age are considered as regular candidates for DEXA scan. You may consider the scan if you have the following conditions:
-Breaking a bone in a minor accident.
-Has rheumatoid arthritis.
-Was on corticosteroid treatment in the recent past for three months or more
-Smoking.
-Drinking heavily.
-low body weight.

I would personally not encourage an unnecessary investigation which would turn to be futile.

2) Ideally if your levels fall in the normal range and also if you are practising daily exercise routine, you need not take any calcium supplements. A well balanced diet and proper exercise is enough to keep you healthy. But it has been controversial among doctors whether or not to prescribe calcium supplements after the age of 50. Personally i wouldn't recommend it for you.

3) There have been studies going on to prove the relation between calcium supplements and kidney stone formation. This also has remained controversial among doctors. But if your treating doctor has been against it, then I would suggest you to stick by it.

4) Calcium supplements has sometimes proved to accelerate the process of atherosclerosis in some studies whereas, there has not been any proven study to establish this fact. I would still stick to my point that you are to only take any supplements when your body demands it.

All you need now, is to focus on taking a well balanced diet and also include foods that are rich in calcium, and also practise regular exercise routine.

I hope I have answered to your query,

Please feel free to discuss further or else kindly close the query and share your positive feedback.

Regards

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Brief Answer:
Kindly see below,

Detailed Answer:
Hello again,
Thanks for writing back,

Really appreciate you providing with extra details on your treatment history. Inhalational cortico-steroids are know to have a low profile for side effects, but if in chronic use, may cause osteoporosis or osteopenia.

If you are on a chronic use of high does or low to moderate dose of inhalational cortiocosteroids, if without any other risk factors which I had mentioned in my previous mail, as per the NCBI- NIH, there is no need for DEXA scan. You are only required to make some lifestyle changes only.

But if you do seem to have any other risk factors, you may go for a DEXA scan and if diagnosed with low bone density, you may be prescribed with calcium supplements and bisphosphonates.

As for you, since you have not pointed out any other factors like smoking, frequent history of fractures, or do not have any chronic debilitating illnesses, you may consider to prolong the scan for a few more years.

Also in regardance to your asthma, you may also consider options like beta 2 agonists or leukotriene modifiers, which may also help to reduce your symptoms.

I hope this helps,

Please feel free to discuss further or else kindly close and give your positive feedback,

Regards

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