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Bypass surgery and osteoporosis

Hi everyone, I am UK based. I am looking at bypass surgery and reading up and researching as much as I possibly can. My mum has osteoporosis and I know that I will need to take supplements etc afterwards. Should I need to be additionally concerned about this? I will of course speak to my surgeon but just wondered what your experiences were. Thank you

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  • they'll have you taking calcium and vitamin D after surgery (probably for life), so that usually helps to prevent it. So does healthy eating and weight-bearing exercise (e.g., walking, running, weigh

  • Have a bone density check. It’s a good idea to have one done regularly if osteoporosis is in your family regardless of your surgery. It will pick up if you have signs of osteopenia. (It’s more common

  • waterwoman
    waterwoman

    I developed osteoporosis after RNY. Because Fosamax is so hard on the stomach surgeon recommended annual Reclast infusion. I did that for 2 years and reversed osteoporosis to osteopenia. Best of eve

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they'll have you taking calcium and vitamin D after surgery (probably for life), so that usually helps to prevent it. So does healthy eating and weight-bearing exercise (e.g., walking, running, weight lifting...)

I have osteoporosis, but I'm in my 60s and also, it runs rampant in my family (or at least in the women). I don't know how much of a factor my bypass was (if at all) since I didn't have a baseline done before surgery.

Have a bone density check. It’s a good idea to have one done regularly if osteoporosis is in your family regardless of your surgery. It will pick up if you have signs of osteopenia. (It’s more common in women over 50 but with your family history you may be more likely to have this first sign of bone loss younger.) Better to get on top of it before there’s noticeable loss of bone density & you start experiencing more complex issues. Start adding calcium rich foods to your diet (look for low fat ones though) & supplements as needed.

I developed osteoporosis after RNY. Because Fosamax is so hard on the stomach surgeon recommended annual Reclast infusion. I did that for 2 years and reversed osteoporosis to osteopenia. Best of everything to you. I am 69.
7 hours ago, waterwoman said:

I developed osteoporosis after RNY. Because Fosamax is so hard on the stomach surgeon recommended annual Reclast infusion. I did that for 2 years and reversed osteoporosis to osteopenia. Best of everything to you. I am 69.

i've been doing the annual Reclast infusions as well. So far, so good...

  • 4 years later...

I just got diagnosed this week. Seeing all the warnings on the Fosamax, I am worried. I will try it on sunday but I am a little scared

I was recently diagnosed with osteoporis, my results just on the cusp. My doctor wanted to put me on prolia. We chatted, and we discussed my working on exercise and jump therapy to see if I can at least stablise before going on meds. Have 18 months. I was hoping to do the LIFTMOR program, unfortnately there are not any licensed/trained therapists in my area. So have a weights program, doing some jump therapy and walking, also supplementing Vitd (always low for me) and some calcium, though not too much calcium as I'm trying to get more through my food intake. Hope all goes well for you.

On 10/24/2025 at 4:54 AM, katdfitness said:

I just got diagnosed this week. Seeing all the warnings on the Fosamax, I am worried. I will try it on sunday but I am a little scared

Sorry to hear this @Hop_Scotch . Sadly, it’s becoming quite common these days & in men too. Too many sedentary jobs, increased alcohol & caffeine consumption, poor diets, etc. don’t help. If you do need to go the prescription route, there are many alternatives to prolia these days you might like to investigate. Friend has just had her first annual zoledronic acid IV. She wouldn’t do prolia for years as she was concerned about the side effects - she’s a worst case scenario person so did lots of research. Another is on a once a week oral tablet. She went down the diet and lifestyle route initially but as she is on her 2nd valve replacement, the increasing cholesterol from the high dairy diet was becoming a concern. A third is doing a once a month injection (Evenity). Apparently these newer medications are beneficial for those with early stage osteoporosis and sometimes don’t have to be lifelong treatments. Prolia I believe is better for more advanced cases and are usually a lifelong treatment.

Are you on HRT? That will help too.

  • 3 weeks later...

I know how to do strength training, but I've been slacking - let life get in the way, and now I'm getting smacked! My mom did have osteoporosis. I have now taken Fosamax for three weeks in a row without any negative side effects. Sadly, my NP is no longer with the practice. I was supposed to have my first appointment with her yesterday. Yeah, not to try to find someone else who takes my ACA marketplace insurance. Ugh!

I did visit with a sister in law that has crohns and she also has osteoporsis. She seems to be doing pretty good even though she cannot take any meds due to her digestive issues.

I have started back with my strength training and modified my diet a bit more and added more supps. I can't not seem to get my dang Vitamin D up no matter what I try!

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