I was on Atripla (with Tenofovir) and my hip bone became nearly inoperable. It affected my bones big time. Since then, I was told I had Periodontal Disease, but I don't believe it's a disease. My teeth are spotless. I floss twice daily and brush gently. I never drink soda or candy. I even gave up on alcohol. I think it's an issue of digestion and food quality.
GMOs surfaced in our foods in 1996. Since then, periodontal and 'digestion' issues have expanded, along with Parkinson's, which stems from Paraquat pesticides. How many probiotic ads do you now see? If our digestion is off, we can't properly digest minerals, enzymes & vitamins. Adding to that, our meats are stuffed with antibiotics. Antibiotics kill all bacteria, even the good digestive bacteria.
If you're taking Tenofovir, you should supplement with Calcium Orotate. Orotate is the most bioavailable. I'd also add a probiotic to aid in digestion. There are many types, but I'd go with Garden of Life RAW Probitics because they have a very high potency (80 colony forming units & 12 strains).
Atripla can really do a number on your bones, so definitely use Calcium Orotate. Might not hurt to add Vitamin D3 which aids calcium. Finally, Magnesium Citrate can't hurt... but don't break the bank or pop a million pills. It's just that, between toxic meds and toxic foods, we got a lot of work to do. Dentists and doctors are trained that everything is localized. They think everything is a "disease" when most things are an offshoot of diet and nutrition and can be repaired, reversed and halted.
For the record, I'm speaking from experience. Probiotics, Calcium & D3 has made a big difference.
have you checked your vit d blood levels and that you have optium levels prior starting tdf or adv?
all hbv carriers are vit d deficent and this makes bone loss more than tdf and adv, keeping vit25oh to 80-90ng/ml prevents any bone loss due to tdf or d deficency