Losing bone density--help!

Librarian67
on 4/13/18 4:12 am
RNY on 02/28/17

I had my 6-month followup Dexa scan yesterday and overall the results were good. My total body fat is still low at 17.3 but that is up from 16.7. I exercise alot, swimming and walking so I'm not surprised that it is low. My doctor wants it at 25%, which he says is healthier for my age (over 50), but I doubt that it will get there when I am exercising this much. I have added more fats (nuts, full fat cheese) into my diet and my skin seems better than when I was eating more low fat.

What is really worrying is that my bone density has dropped by 2.3% over the 6-month period. My bone density is in the high category, which is great and I do regular weight bearing exercise, but I have a family history of osteoporosis and having a drop like that worries me. I take my 3 doses of 500mg of calcium every day several hours after my iron but it may be that my body is not absorbing it like it should. That is a problem.

What do you do to help prevent losing bone density and help your body use the calcium supplements better. I want to be proactive and not wait until I have a real problem.

Thanks

catwoman7
on 4/13/18 4:53 am
RNY on 06/03/15

My bone density showed up as below average for my age on my first DEXA, so my surgeon's office recommended I increase my calcium citrate intake to 2000 mg a day (four doses of 500 mg).

However, the new PCP I started with this past January (who happens to be very interested in bones) told me I was actually in the osteoporosis category (neither the DEXA scan tech or the surgeon's office told me this - they just said it was "below average"), so she sent me for a Reclast infusion (she wanted to avoid Fosamax or other oral drugs because of my WLS - they can be hard on the stomach).

I've only done one DEXA scan, so for all I know, I could have had osteoporosis before WLS since I'd never had a baseline scan - and I haven't done one since, so I don't know if it's improved or gotten worse (hopefully improved since the Reclast)

Weight-bearing exercise and extra calcium is pretty much the standard treatment before you start getting into drug treatment..

osteoporosis runs in my family, too, which is another reason I wanted to do the scan. My insurance doesn't cover DEXA scans if you're under 60, but I wanted to know about my bone density...and I also wanted to know my fat percentage, which the scans that the doctors order don't include.

 

 

    

        

Librarian67
on 4/13/18 5:04 am
RNY on 02/28/17

Is there any type of calcium supplement that is better or more likely to be absorbed? I do take calcium citrate.

catwoman7
on 4/13/18 5:24 am
RNY on 06/03/15

calcium citrate is the best absorbed by WLS patients, as you know - although if I'm not mistaken, I think it's one of the best - if not the best - absorbed by "normies", too.

 

 

    

        

catwoman7
on 4/13/18 5:27 am
RNY on 06/03/15

This definitely is not peer-reviewed, so you can take it or leave it, but he suggests calcium citrate as a very well-absorbed form of calcium (he's talking about seniors - not WLS patients - but then, most osteoporosis patients are seniors!)

https://www.drweil.com/vitamins-supplements-herbs/vitamins/better-form-of-calcium/

 

 

    

        

Laura in Texas
on 4/13/18 6:01 am

Laura in Texas

51 years old; 5'7" tall; HW: 339 (BMI=53); CW: 140 (BMI=22)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"If what you're doing doesn't work, change what you're doing - don't complain that it doesn't work."

Librarian67
on 4/13/18 8:03 am
RNY on 02/28/17

Thanks Laura. I walk alot but need to do more upper body strength training.

NYMom222
on 4/13/18 7:43 am
RNY on 07/23/14

I was similar to you, density high but trending downward on my Dexascan. I know the patches are controversial but the calcium patch has definitely worked for me. The last two Dexascans my T-score went up.

I have been on calcium patch since July 2016. I wear them at night on my chest. Don't know if that helps with absorption.

Cynthia 5'11" RNY 7/23/2014

Maintaining a 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

Need to get back to Basics? The Five Day Meat Test

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Librarian67
on 4/13/18 8:04 am
RNY on 02/28/17

Where do you get your patches? What brand?

NYMom222
on 4/13/18 8:23 am
RNY on 07/23/14

Patch MD

Cynthia 5'11" RNY 7/23/2014

Maintaining a 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

Need to get back to Basics? The Five Day Meat Test

Save

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