Thank you again for the info. The more I know going in to my appointment the better. I'm guessing I would not tolerate pill form either. Can't risk any issues with the lining of my stomach. Of all the info online it's been tough trying to find an endo, I've read way to many reviews. Using my ins as a guide most concentrate on diabetes and thyroid. I have found a few to make calls to tomorrow. I'm ready to get started on a plan but know it can't happen over night .

Reclast was the only drug I've had so far because my endocrinologist didn't want to give me an oral drug (like Fosamax) because of my RNY. It's been awhile since I've had it (Reclast), but I think I may have had flu-like symptoms for a day or two after the infusion, but that's it. It stabilized my bones (i.e., no loss since), but the endo wants to try to build them up. I'm 63 now and she wants me to enter my final decades with my bones as strong as possible. Evidently Forteo is a little stronger - or else just better at building them. Plus she told me to do a lot of walking as that strengthens them too (and weight training, like the person below said - but weight training is one of those things I have to force myself to do since I'm not a fan!!)

btw - I was diagnosed at age 58. Since we never did a baseline before my RNY, I'm not sure if it was the malabsorption from the RNY, or just genetic - osteoporosis runs rampant in my family. I think every female relative - on both sides - dealt (or deals) with it. But that's neither here nor there, I suppose. At any rate, they supposedly have some really good bone-building drugs out now. Haven't heard of Evenity, but then, I haven't done a lot of research on all the options in awhile...

I also have Osteopenia (62 yrs old male, SADi DS in 2014) which I think is very common in both WLS patients and in many people as they get older. I could eat a horse every day and not gain weight, but I also can't add much muscle and worry about osteoporosis and certain cancers I think WLS patients are more vulnerable to.

If you haven't already had a bone scan, you should do it every 2 years at a min. It shows progression very clearly, which for me is primarily is my wrists.

A couple of points to combat it:

1) I doubled my calcium (600 units x 2 times daily), 2) Dr said it's the vit D that needs upgrading with Osteopenia, so I now take 10k units x 2 each day (20k units total). 3) I get a lot of exercise for an old guy, and resistance training is really important for everyone as they age. You should focus on weight lifting while standing (e.g. curls, presses, pushups). The load-bearing component is how you help keep bones strong.

This is an important topic impacting many wls patients, so pls keep us updated and good luck!

I have osteoporosis. I also hunch over - but I have no spinal fractures. I think it's just a symptom of the disease.

I did Reclast for three years (an IV infusion that you get once a year), then a two-year break, and if all goes well, I'll start Forteo in the fall (also an injectable - but one I'll be doing myself). Evidently it's a stronger bone-builder than Reclast.

K2 is the one that's good for bones.

I see an endocrinologist for my osteoporosis (I was referred to her by my PCP). I don't know about rheumotologists - but I'm sure they'll refer you elsewhere if he/she doesn't deal with osteoporosis (I honestly don't know if they deal with osteo or not - they very well might).

as far as exercise, anything where you're putting pressure on your bones helps to build them - even just walking.

EDITED to add: just checked - yes, rheumotologists also deal with osteoporosis.

OOPS! I found my previous post.

Thank you