Diet, lifestyle changes and medications for osteoporosis treatment

Posted by gen55 @gen55, Apr 5 10:15am

Wondering who has found a good diet and recipes to aid in osteoporosis. I've been researching the best foods and there is so much out there. Trying to find one good source that I can use as my go to for recipes and information.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

There have been numerous contributions made about Alendronate (Fosamax), which is in a class of medicines called bisphosphonates. This is a simplification, but these drugs interfere with the natural process of “shedding” the old bone, while other processes grow new bone. Because we are keeping the “old bone” our Dexa’s seem better - even though the bone is brittle. Once you take a drug holiday and go off Fosamax, the shedding occurs and we are at high risk for fractures - femur, tibia, jaw bone complications, and etc. Bisphosphonates are usually the first kind of meds that doctors prescribed (protocol). I wish they read more about their effects and patients’ feedback. I’m happy for those who have had wonderful experiences. This is just my opinion.

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Profile picture for pmhpesp5 @pmhpesp5

It’s ridiculous the amount of contradictory information available online. Just doing a simple search for low oxalate diets results in different opinions on what to pursue and avoid. I also can’t have dairy. I’ve been through the whole gamut of alternatives for just milk alone. We have to worry about lectins (there goes almond milk), oxalates, phthalates, and etc. It’s now very confusing to know what to eat. I have difficulty balancing my meds (carbidopa-levodopa and Clonazepam, Klor Con M20EQ) with supplement intake (Citracal w/D3, Vitamin K2, Magnesium, would like Vitamin C through food). You must separate by two hours. I’m popping pills all day long.
Also, protein and other foods interfere with the absorption of meds.
My main priority is attempting to get some relief w/cervical dystonia. My second priority is osteoporosis, which will not be treated w/the drugs available based on research, patient feedback, and doctors’ complete disconnect with what patients are enduring. We haven’t truly figure out these diseases and I’m just tired of being the guinea pig in the lab.
Forgive my attitude. I’m just a little frustrated by the entire process and want to live my life. I’m only. 66. Good gravy.

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@pmhpesp5 I hear you! Check the charts for low oxalates and “medical professionals,” have conflicting info!?! So,..it begins. Keep sharing.

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Profile picture for gen55 @gen55

@pmhpesp5 I'm totally with you! I'm so confused. My doctor prescribed alendronate after my dexascan. After doing some research, I'm very wary of beginning to take it. I would rather do a food diet to combat the osteoporosis, but not educated enough about the pros and cons of the med to make a true decision. It's all so frustrating and sad to me.

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@gen55 I am 76 and have severe osteoporosis. I can't take Tymlos or Forteo. Doctor prescribed alendronate, which I refused after reading about the side effects and studies showing it offers minimal prevention against fractures.
https://www.amjmed.com › article › S0002-9343(24)00101-3 › fulltext (copy and paste to your browser to read article)
https://www.consumerreports.org/cro/2012/04/popular-osteoporosis-drugs-come-with-mounting-concerns/index.htm

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Profile picture for pmhpesp5 @pmhpesp5

It’s ridiculous the amount of contradictory information available online. Just doing a simple search for low oxalate diets results in different opinions on what to pursue and avoid. I also can’t have dairy. I’ve been through the whole gamut of alternatives for just milk alone. We have to worry about lectins (there goes almond milk), oxalates, phthalates, and etc. It’s now very confusing to know what to eat. I have difficulty balancing my meds (carbidopa-levodopa and Clonazepam, Klor Con M20EQ) with supplement intake (Citracal w/D3, Vitamin K2, Magnesium, would like Vitamin C through food). You must separate by two hours. I’m popping pills all day long.
Also, protein and other foods interfere with the absorption of meds.
My main priority is attempting to get some relief w/cervical dystonia. My second priority is osteoporosis, which will not be treated w/the drugs available based on research, patient feedback, and doctors’ complete disconnect with what patients are enduring. We haven’t truly figure out these diseases and I’m just tired of being the guinea pig in the lab.
Forgive my attitude. I’m just a little frustrated by the entire process and want to live my life. I’m only. 66. Good gravy.

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@pmhpesp5 I agree with you 100%. This support groups shows how women are doing so much research into what can help us besides the drugs, which have terrible side effects. Osteoporosis affects millions of people so I can't understand why there isn't a more comprehensive plan on what else can help besides drugs. I'm taking so many supplements and vitamins, hoping they help.

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Profile picture for meri8181 @meri8181

@rudysmom I add not only ground Flax to smoothies but Flax Milk.
More Greek yogurt, bananas, blueberries, . Looking for protein to add.
What kind do you add? Brand name.

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@meri8181 I’ve used two different protein powders, each with only 1 gram of sugar: Orgain Organic Vegan Protein Powder in Strawberry and Cream flavor and Oath Nutrition Protein Powder, favorite flavor is Frosty Lemonade.

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Profile picture for daisy17 @daisy17

@meri8181 I’ve used two different protein powders, each with only 1 gram of sugar: Orgain Organic Vegan Protein Powder in Strawberry and Cream flavor and Oath Nutrition Protein Powder, favorite flavor is Frosty Lemonade.

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@daisy17 , Thank you!

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Profile picture for bswpb @bswpb

All I have ever seen is eat calcium rich foods, like dairy, leafy greens, and fortified foods. I don’t do dairy and fortified foods usually means cereals with a lot of junk! Stay away from processed foods they have high sodium, sugar, alcohol and caffeine. Carbonated beverages as well.
Fruits, veggies, fatty fish(I’m not a fan), nuts and seeds…I take supplements! Calcium, Vitamin D with K2, magnesium and Omega-3’s.

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@bswpb I wonder if you have any recent studies on carbonated beverages. I also used to think they were bad, but I have heard from many experts lately that data now shows that is false and carbonated beverages are fine as long as they don't contain excess phosphorus, like colas. It's the phosphorus that prevents calcium absorption and not the carbonation. Just putting this out there because there are already so many things we have to avoid, that if you enjoy bubbly water as I do, there seems to be no reason to deny yourself that.

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Profile picture for vixstermoves @vixstermoves

@loriesco
You do you! Everybody’s different, everybody’s body is different. People consume different foods. Some studies can be confusing because food and mineral intake is not clarified.
I’ve had two different doctors- an oncologist/longevity medicine expert (40+yrs of experience ) and endocrinologist say get off of high oxalate foods. I have had amazing results by doing such. They have years and years of experience. These Drs go beyond 2 years of nutritional chemistry background.
That said, everybody should look into their own health, to figure out what’s best for them. Everyone is different. However, in this day and age, everybody has to manage their own health. Doctors don’t have time to do such. They are under pressure to move people in and out of their office.

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@vixstermoves
hi besides spinach rhubarb almonds Swiss chard what other oxalates have you elaminated? It seems as though oxalates are in everything healthy.

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Profile picture for loriesco @loriesco

@vixstermoves everyone should have a low oxalate diet at our age. And most older people will get stomach aches and intestinal problems if they do not. The only point I’m trying to make is that we should not give up the foods that carry the oxalate, just give up the oxalate themselves by doing what people have done for generations and thousands of years, removing the oxalates from the food not the food themselves. My comment is meant for everyone because most people here don’t have the sophistication to make the difference known they just start adding and giving up foods when people post and don’t understand the complexities that go along with It. Most people don’t understand that it’s the loss of hormones and genetics which causes osteoporosis. It’s an anabolic process anyway. So it’s not like the food you eat go directly to your bones getting the nutrition out of one’s food is very important at our age and understanding what the carriers are to drive digestion are really important. Eating foods and the proper combinations are very important and making sure our digestive track is working optimally is very important. To everyone everyone’s good health!

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@loriesco how does one "remove oxalates from food"?

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Profile picture for laren3 @laren3

@loriesco how does one "remove oxalates from food"?

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@laren3 Well for various foods there are various ways! It is normally already removed if you prepare foods the old fashioned way like my ancestors did. Its always ironic that they KNEW what to do even when a modern doctor was no where to be found with science which had not been developed for them. How DID they know?! So beans are soaked overnight, rinsed and then fresh water added to boil. You can see the "fluorescent color" being drained off! I get chickpeas from the store (canned) and I always pour the water they come in, out. Then if I am making a dish, like soup I add new water. I have IBS and that requires me to get rid of the galactans (a type of oligosaccharide), or I have bad stomach aches.
Here are some tips: Pair with Calcium: Eating calcium-rich foods (like cheese or yogurt) alongside high-oxalate foods helps the oxalates bind in your gut rather than your kidneys, allowing them to pass safely.
Cook Your Veggies: Boiling or steaming high-oxalate vegetables can reduce their oxalate content by up to 50% or more.
Stay Hydrated: Drinking plenty of water helps flush oxalates through your system and prevents stone formation.
My calcium is perfect. I eat ample amounts in various foods - but my body gets it where it needs to go. TOO MUCH calcium is bad for people who have Coronary Artery Disease and for a few others.
There is really really problem unless you are prone to kidney stones.
Yes, cooking—specifically boiling—significantly reduces oxalate levels in food by 30% to 87%. Boiling allows soluble oxalates to leach into the water, which should be discarded. Steaming is less effective (5%–53% reduction), while roasting or baking has little effect on lowering oxalate content.
Key Takeaways for Reducing Oxalates:
Boiling is Best: Boiling vegetables like spinach, beets, and swiss chard for 12 minutes is highly effective, as it can remove up to 85–87% of soluble oxalates.
Discard the Water: Since oxalates leach into the cooking water, do not use it for soups or sauces.
Other Methods: Steaming is moderately effective, but roasting, baking, or cooking in a wok generally does not reduce oxalates.
Pair with Calcium: Consuming dairy or calcium-rich foods alongside oxalates can help, as calcium binds to oxalates in the gut, reducing their absorption.
For maximum reduction, boil or blanch vegetables, especially if you are concerned about kidney stones.
National Institutes of Health (.gov)
Eat a varied diet, that is always the best advice and check with your doctor. One thing - doctors can be no different than the rest of us sometimes and are guilty of promoting "trends" which are just "easier" for them than to give nuanced instructions. One example was 30 years of telling people that eggs raise cholesterol. It was always a crazy thing that one! I knew from nutritional chemistry that it was incorrect. It took 25 years for the news to mainstream that they were not!

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