A member asked:

Please provide some do's and don'ts for patients with osteoporosis.

88 doctors weighed in across 119 answers
Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do continue with low impact, progressive exercises.

Answered 5/22/2014

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Avoid: Avoid osteoporosis by living a healthy lifestyle.

Answered 3/16/2013

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Proper: Proper exericise and adequate rest are vital to the health of your bones.

Answered 11/19/2013

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Dr. Michael Rothman answered

Specializes in Internal Medicine

A: A healthy diet, weight bearing exercise, and plenty of sunlight reduce risk for osteoporosis.

Answered 8/31/2016

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Calcium/Vitamin: Calcium/vitamin d supplements help reduce the risk of osteoporosis.

Answered 5/1/2015

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Dr. James Bicos answered

Specializes in Orthopedic Surgery

Eat: Eat a well balanced diet, consider a low impact walking program.

Answered 3/16/2013

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Extension: Extension based exercises are the best, consider golf for fun osteoporosis exercise.

Answered 7/29/2013

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Get: Get regular muscle resistance exercising such as tai chi for balance and hip fracture prevention.

Answered 7/4/2014

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Dr. Jeffrey Wint answered

Specializes in Hand Surgery

No: No matter what your age is proper calcium intake and exercise can limit bone loss.

Answered 6/25/2014

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Dr. Jeffrey Wint answered

Specializes in Hand Surgery

Yearly: Yearly check ups with a bone density test help to prevent the ill effects of osteoporisis.

Answered 3/16/2013

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Dr. Andrew Oswari answered

Specializes in Family Medicine

A new TipTap: Walking is a wonderful exercise to prevent osteoporosis.

Answered 7/3/2014

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Dr. Andrew Oswari answered

Specializes in Family Medicine

A new TipTap: Supplements to help prevent: strontium, vitamin k2, vitamin d3.

Answered 7/30/2014

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Don't: Don't smoke cigarettes, it decreases bone density.

Answered 3/23/2014

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Dr. James Bicos answered

Specializes in Orthopedic Surgery

Bones: Bones respond to stress -- a good walking program helps to keep bones strong.

Answered 2/5/2014

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Walk,: Walk, walk, walk, and any other weight bearing exercise.

Answered 9/29/2016

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Nothing: Myth: nothing can be done for osteoporosis. Weight bearing exercise such as walking is great.

Answered 7/16/2016

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Dr. James Gagne answered

Specializes in Internal Medicine

Have: Have your md check your vitamin d level. You should take 2000 units/day unless your calcium is high.

Answered 4/5/2014

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Dr. James Gagne answered

Specializes in Internal Medicine

Most: Most people think you're not at risk if you're overweight or obese. Not true.

Answered 7/20/2014

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Dr. Randy Baker answered

Specializes in Holistic Medicine

High: High doses of vitamin k2 (up to 45 mg/day) have been proven to be safe & effective for osteoporosis.

Answered 7/22/2014

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Exercise: Exercise more. Get more sunshine, take calcium with vitamin d. Take your medicines and avoid falling.

Answered 7/15/2016

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Dr. Marvin Den answered

Specializes in Internal Medicine

Adequate: Adequate calcium and vitamin d. Stay active. Walking is the best.

Answered 9/29/2016

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Dr. Rixt Luikenaar answered

Specializes in Obstetrics & Gynecology

Keep: Keep a healthy weight, excercise regular and don't smoke. Think of calcium and vitamin d as well.

Answered 12/22/2013

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Dr. Rixt Luikenaar answered

Specializes in Obstetrics & Gynecology

Take: Take meds as prescribed, increase calcium/vit d intake, excercise regular, fall prevention.

Answered 3/16/2013

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Balance: Balance is critical to living well with osteoporosis. If we don't fall, we don't break bones!

Answered 7/28/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

If: If you are on steroids, mtx , & proton pump inhibitors, you may need bisphosphonates to prevent bone loss!

Answered 10/17/2013

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

Do: Do get regular weight-bearing exercise as you can and get adequate calcium and vitamin d intake.

Answered 3/16/2013

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Be: Be sure to get a followup DEXA scan to check the effectiveness of your osteoporosis treatment.

Answered 2/19/2015

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Dr. Payam Rafat answered

Specializes in Podiatry

Avoid: Avoid drinking sodas. Exercise to strengthen muscles and bone.

Answered 3/16/2013

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Take: Take calcium & vit d daily. Eat calcium rich foods. Exercise to strengthen bones. Prescription meds.

Answered 3/16/2013

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Dr. Kornelis Poelstra answered

Specializes in Orthopedic Spine Surgery

Weight: Weight bearing exercises: bone responds favorably to loading it! use gravity as much as you can!

Answered 4/21/2014

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Increased: Increased muscle mass brings denser bone.

Answered 6/22/2014

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Stay: Stay healthy, use calcium and vitamin d, particularly when you're young, avoid trauma and falls.

Answered 2/20/2014

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Dr. William Harris answered

Specializes in Family Medicine

To: To prevent osteoporosis, engage in regular exercise that has some impact to it to stimulate bones.

Answered 11/2/2015

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Get: Get a baseline DEXA scan as well as one 2 years after being on treatment to rate treatment success.

Answered 9/29/2016

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Low: Low impact activities of walking, biking, swimming, and dancing can help build bone.

Answered 9/3/2013

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Extension: Extension based exercises such as golf are good for maintaining spinal bone health. Avoid flexion.

Answered 7/15/2014

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Osteoporosis: Osteoporosis is a "silent" disease, but can be treated if diagnosed on time. Have a DEXA done.

Answered 9/29/2016

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Tai: Tai chi is an excellent exercise for balance, strength and flexibility while protecting your joints.

Answered 2/9/2017

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Begin: Begin to prevent it when you're young with calcium, vitamin d and exercise. Avoid smoking/alcohol.

Answered 3/29/2013

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Get: Get a referral to the best endocrinologist your pcp can recommend.

Answered 9/29/2016

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Exercise: Exercise reduces bone loss. Diet: balancing minerals/vitamins. Stay away from steroids.

Answered 6/3/2014

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Stay: Stay active, quit smoking. Attain your ideal body weight. Take your caltrate have your DEXA regularly.

Answered 2/19/2015

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Meds: Meds from your doctor, weight bearing exercise, calcium/vit d as he/she recommends. Walking is the way 2 start.

Answered 7/20/2014

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Dr. Kerry Friesen answered

Specializes in Preventive Medicine

Things: Things to avoid: coffee, carbonated beverages, diuretics, excess thyroid medicine, sitting.

Answered 9/7/2016

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Dr. Zahid Ahmed answered

Specializes in Dentistry

If: If taking bisphosphonate medication, try to see a dentist first and take regular care of your teeth!

Answered 9/29/2016

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Stay: Stay active. Quit smoking. Attain ideal weight. Ask for your DEXA result. Take caltrate. Don't fall!

Answered 2/19/2015

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Dr. William Newton answered

Specializes in Pain Management

Be: Be sure to treat the osteoporosis if you suffer a fracture. This is often overlooked.

Answered 3/17/2017

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Dr. Theodore Shybut answered

Specializes in Sports Medicine

Exercise:: Exercise: walking, jogging, tennis, dancing, resistance training, rowing, tai chi, yoga are all good.

Answered 6/8/2014

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Dr. Quang Nguyen answered

Specializes in Endocrinology

If: If you are taking a bisphosphonate, make sure you are also taking enough calcium and vitamin d.

Answered 9/29/2016

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Dr. William Newton answered

Specializes in Pain Management

Get: Get screened if post menopausal or have been on oral steroids for a long time.

Answered 9/29/2016

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Pumpkin,: Pumpkin, sesame and sunflower seeds, as well as greens, nuts and legumes are rich in magnesium.

Answered 9/29/2016

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Dr. Theodore Shybut answered

Specializes in Sports Medicine

Be: Be especially careful to avoid situations in which you might fall--if you have a cane/walker, use it.

Answered 9/29/2016

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Make: Make sure you are absorbing your nutrients. Check gut bacteria (probiotics) and digestive enzymes.

Answered 9/5/2017

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Dr. William Newton answered

Specializes in Pain Management

Keep: Keep moving. Strength building exercise will stimulate bone growth.

Answered 3/11/2014

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Continue: Continue to take your calcium and vit d, and keep exercising even with osteoporosis!

Answered 5/12/2015

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Dairy: Dairy products (milk, yogurt), leafy green vegetables, and nuts are all good sources of calcium.

Answered 2/22/2014

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Weight-bearing: Weight-bearing exercises and resistance training increase muscle strength and improve balance.

Answered 9/29/2016

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Dr. Andrew Oswari answered

Specializes in Family Medicine

Vegetarians: Vegetarians have less incidence of osteoporosis than meat eaters.

Answered 9/29/2016

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Dr. Ralph Morgan Lewis answered

Specializes in Family Medicine

Prevent: Prevent falls by securing rugs, wearing footwear that fits & stays on foot: no scuffs.

Answered 9/29/2016

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Daily: Daily calcium and vitamin d help reduce the risk of osteoporosis.

Answered 9/29/2016

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Smoking: Smoking increases your risk for osteoporosis. Another reason to stop smoking.

Answered 3/26/2014

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Take: Take 1200-1500 mg of calcium and at least 2000 iu of vit d daily to help prevent osteoporosis!

Answered 5/12/2015

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Quitting: Quitting tobacco will help you prevent broken bones.

Answered 1/9/2015

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Dr. Theodore Shybut answered

Specializes in Sports Medicine

Limit: Limit alcohol intake. Excessive alcohol can contribute to osteoporosis and increase fracture risk.

Answered 4/9/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

In: In order of importance: weight bearing exercise; vitamin d3 intake; calcium; hormonal status!

Answered 8/31/2016

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Exercise,: Exercise, calcium, and vitamin d are all you need to prevent osteoporosis.

Answered 9/20/2014

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A: A DEXA scan is not necessary to prevent osteoporosis. Exercise, calcium, and vitamin d are.

Answered 12/8/2016

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Exercise: Exercise that puts weight on your joints - like walking, jogging, aerobics, etc - can help prevent osteoporosis.

Answered 5/12/2015

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Calcium: Calcium citrate does not have to be taken with food.

Answered 4/30/2014

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Women: Women over 65 should have their bone density checked routinely (no more than every 2 yrs.).

Answered 9/29/2016

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Dr. Andrew Oswari answered

Specializes in Family Medicine

Take: Take strontium and vitamin d3 (if your level is under 50) daily.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Exercise,: Exercise, vitamin d3, adequate dietary calcium, and hormone replacement if it's medically ok!

Answered 5/31/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

Get: Get a DEXA scan at 50 years old, unless you have been on high risk drugs, ie. Steroids.

Answered 9/29/2016

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Dr. Randy Baker answered

Specializes in Holistic Medicine

Adequate: Adequate vit. D is one of the best ways to prevent osteoporosis. I advise 4-6000 iu/day oct.-april.

Answered 9/29/2016

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Tums (calcium carbonate): Tums (calcium carbonate) (the antacid) is a great and cheap calcium source. Chew 2 of the 750's a day and get some vit d.

Answered 9/29/2016

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Dr. Theodore Shybut answered

Specializes in Sports Medicine

Avoid: Avoid smoking. If you already do, quit.

Answered 3/29/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Exercise: Exercise trumps vitamin d3 (very necessary), and calcium (also every important.).

Answered 7/6/2016

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Women: Women 51 y/o and over need 1, 200mg of calcium per day (no more than 500mg at one time).

Answered 8/20/2013

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Dr. Ralph Morgan Lewis answered

Specializes in Family Medicine

Adequate: Adequate daily calcium intake & weight-bearing exercise.

Answered 3/30/2013

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Exercise: Exercise is it. I don't want you to get a gym membership - just walk briskly with someone.

Answered 8/28/2013

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Keep: Keep your calcium and vitamin D on the table where you eat. Take half with breakfast and dinner.

Answered 5/7/2015

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Check: Check vitamin d levels with your doctor. You may need from 2000 - 5000 ius/ day.

Answered 9/29/2016

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Take: Take calcium, magnesium, vit d, boron and, if not on blood thinners, vitamin k.

Answered 9/29/2016

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The: The bisphosphonates are generally safe and prevent broken bones.

Answered 4/27/2014

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Get: Get vitamin k from greens, also from blueberries, prunes, avocado and soybeans.

Answered 9/29/2016

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Sardines,: Sardines, tofu, sesame seeds and greens are rich in calcium, if you cannot tolerate dairy.

Answered 5/17/2014

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Bisphosphonats: Bisphosphonats (like fosamax, alendronate) are only necessary for patients who have had fractures.

Answered 9/29/2016

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Don't: Don't expect your DEXA to dramatically improve on therapy for osteoporosis.

Answered 9/29/2016

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Dr. Bettina Herbert answered

Specializes in Physical Medicine and Rehabilitation

Weight-bearing: Weight-bearing exercise helps bone remodel faster. Be sure to do some regularly.

Answered 5/28/2014

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Dr. William Newton answered

Specializes in Pain Management

Vitamin: Vitamin supplementation along with medication to slow down bone loss or even rebuild bone.

Answered 5/7/2014

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Dr. Randy Baker answered

Specializes in Holistic Medicine

High: High doses of vit. K (15-45 mg/day) has been found to be a safe & effective treatment.

Answered 3/29/2013

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There: There are lots of new treatments for osteoporosis, including an injection and an IV option.

Answered 5/12/2015

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Dr. Randy Baker answered

Specializes in Holistic Medicine

The: The mineral strontium citrate (680 mg/day) is a safe & effective natural treatment for osteoporosis.

Answered 3/29/2013

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Eat: Eat healthy, exercise, don't smoke or use alcohol in excel. Calcium and vitamin d.

Answered 8/31/2016

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Stay: Stay lean & healthy. Exercise. Take calcium/vitamin d. Avoid trauma and falls as well as alcohol & tobacco.

Answered 7/20/2014

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Make: Make sure your intake of calcium & vit-d are adequate and be active and walk, walk, walk.

Answered 9/29/2016

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Discuss: Discuss treatment options with your doctor and ask if you need vitamin d.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Prevent: Prevent it! don't get it! exercise, vitamin d, calcium. Much harder to deal with after the fact!

Answered 4/5/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Evista, (raloxifene): Evista, (raloxifene) for osteoporosis, prevents breast cancer as well.

Answered 9/29/2016

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The: The only hazard of high doses of vit d3 is taking it with calcium (ca) supplements. Get ca from food.

Answered 4/11/2013

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Take: Take 7-keto dhea, vit d3, vit k2, zinc, fish oil & no tobacco, alcohol or fast food. Move joyfully.

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Proton: Proton pump inhibitors cause osteoporosis & also magnesium deficiency. You may need meds to prevent!

Answered 4/5/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

Proton: Proton pump inhibitors cause osteoporosis. Impair absorption of calcium, magnesium, & vit d! avoid!

Answered 9/29/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Proton: Proton pump inhibitors cause osteoporosis with over four years of use (drugs like prilosec)!

Answered 5/2/2018

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Dr. Heidi Fowler answered

Specializes in Psychiatry

What: What can a man do to help prevent osteoporosis? Set a limit of two or less alcoholic beverages/ day.

Answered 9/29/2016

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Dr. Heidi Fowler answered

Specializes in Psychiatry

One: One way for men to decrease risk for osteoporosis - don't smoke.

Answered 9/29/2016

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Dr. Heidi Fowler answered

Specializes in Psychiatry

WEIGHT: Weight lifting can help to prevent osteoporosis in men.

Answered 4/26/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Men: Men can decrease risk for osteoporosis by eating foods that are rich in calcium & vitamin d daily.

Answered 6/10/2013

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Do: Do get enough vitamin d & calcium, perform weight-bearing exercises. Walking is great; do daily.

Answered 3/6/2017

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

Extension: Extension based back strengthening to prevent spine fractures. Golf is an excellent sports for this.

Answered 8/17/2013

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Dr. Thomas Wright answered

Specializes in Phlebology

Studies: Studies show that wearing weighted vest during exercise could improve balance and bone density.

Answered 7/18/2016

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Regular: Regular exercise and calcium intake (after checking with your doctors).

Answered 3/11/2014

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

Adequate: Adequate weight-bearing exercise like walking every day, adequate vit. D and calcium intake.

Answered 3/13/2015

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DO: Do engage in weight bearing exercise. Walking 20 mins a day can decrease your risk of osteoporosis.

Answered 8/31/2013

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Avoid: Avoid high-impact activities if you have osteoporosis. Walking though is excellent exercise.!

Answered 8/31/2013

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DO: Do talk to your hcp about drugs to decrease your risk of fracture. One lowers risk of breast ca, too.

Answered 8/31/2013

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

The: The best medication to keep calcium in your bones is estrogen. After menopause start on ert.

Answered 11/21/2013

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Dr. Clarence Lyons answered

Specializes in Family Medicine

Do: Do get your vitamin d level checked. Adequate calcium is only part of good bone health.

Answered 12/15/2013

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Calcium: Calcium citrate or hydroxyapatite are better forms than calcium carbonate.

Answered 2/3/2014

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