Osteoporosis

I have osteoporosis and I'm preparing for Roux EnY surgery. I know weight loss puts me at greater risk for fractures. I'm. not comfortable with taking Fosamax or other drugs. Does anyone else have info on the effect of WLS on osteoporosis?

Losing weight as fast and as furious as we do made mine a little worse. I probably didn't need to be on Fosamax but my PCP put me on it for about a year. What has improved things has been a drastic increase in calcium citrate, boron, vitamin D3, vitamin K2 and magnesium citrate. As a DSr I take a lot of these due to my malabsorption. Taking a swag here for an RNYr I would suggest: building up to 2400 mg of calcium citrate a day in 600 mg doses (usually 2 capsules), take a magnesium citrate capsule and a boron tablet with each calcium dose, take 150 mcg dose of vitamin K2 AM and PM, and 10,000 IUs of dry D3 AM & PM.  You might need to take Miralax and magnesium oxide to keep things moving.  Veteran RNYrs, any suggestions? Am I too high on these doses?

--gina

 

I think it is going to be very personal.  Have your levels taken before surgery so you know what you are starting with.  My bones were always great before.  I got my levels too high, Drs cut my doses, then my last bone scan said osteopenia.  So I have raised my D3 and calcium again.  I find the relationships difficult because my PTH has been backwards the whole time, which was why they lowered my doses to begin with.  As active and clutzy as I am, I don't want weak bones. 

Exercise also strenghens bones.  I started weight training with a fun (hard) class called muscle pump.  We lift light weights, many reps to music.  It is a great workout and good for strenght building and bones.  I could have never done it before WLS

Thanks for your input. I'm going to talk to PCP and get blood work done for levels.