Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

See all MNHQ comments on this thread

To think osteoporosis is shockingly sidelined by healthcare professionals in the UK

214 replies

Pavementworrier · 23/11/2025 16:39

My mum was recently diagnosed. That in itself isn't such a shock - the bigger shock was that the treatments available are pretty limited with potentially significant side effects. And now I think about it there are things we should all be thinking about to try to limit our own risks. It's easy to forget when young that strength starts with our bones.

More than half of women in the UK will have an osteoporotic fracture and there is risk even if you never have vitamin d deficiency (which almost all of us will at some point). Some medication and food/drinks can put you more at risk but this is never taken into account in prescribing.

Reading today about the plan to give puberty blockers to 200 kids and then follow them for four years. Four years is not enough - osteoporosis is a huge risk of adjusting adolescent hormones and the people conducting the study have a duty to the children for the rest of their lives. What measures will be taken to monitor and protect their future skeletons? I bet none.

Anyway if you are reading this, however old you are, please think about vitamin d supplements, regular exercise and strength training and taking a dexa scan in your forties.

HRT supposedly offers great protection - I am 44 now and not sure when to start for best effect. My periods are irregular but otherwise I feel fine. Would be great if someone would start taking this disease seriously and work out the optimal starting moment!

OP posts:
Thread gallery
5
RosemaryandTruffle · 24/11/2025 09:24

The books that educated me (bear in mind this was 10 years ago and there may be other very good ones now) were

Better Bones, Better Body. (Beyond Estrogen and Calcium). by Susan E Brown

The Myth of Osteoporosis (What every woman should know about creating bone health) by Gillian Sanson

Osteoporosis (the silent epidemic) by Marily Glenville

Building Bone Vitality (why calcium, estrogen and drugs are not the answer) by Amy Joy Lanou.

RhiannonEMumsnet · 24/11/2025 09:22

Hi OP,

Hope you don't mind us popping our head round the door to flag this guest post from the ROS about their Great British Bone Check - we though it might be of interest to users on the thread.

Thanks,
MNHQ

Sleepyandtiredandlazy · 24/11/2025 09:18

RosemaryandTruffle · 24/11/2025 08:55

Thing is it is not as simple as that. Vitamin D and "dairy" are not the answer. "Dairy" is such a lazy answer. There is much more calcium in other foods stuffs and it's important to eat those (almonds, brocolli, acid-forming foods etc etc).

Well yes you are right. And the doctor did briefly touch on diet in general although not in any detail. But I did feel his lead into the conversation was actually a bit patronising.I got the impression he felt the " dairy" aspect was something I would understand. I certainly felt he assumed because I'm in my 70s I somehow didn't have any knowledge about nutrition and health.

RosemaryandTruffle · 24/11/2025 09:17

ILoveDuckDuckGo · 23/11/2025 18:43

Vitamin K was discovered in the late 1920s, however the differentiation between K1, K2 and K3 came early 2000s. And the importance of K2 for bones (that it directs the calcium in your bones instead of your arteries) is still recent and guidelines have not included it yet).
The highest food source of K2 is natto. You can find it in the freezer section of Japanese/Asian shops but it is an acquired taste.
Without K2, the combo vitamin D + Calcium doesn’t change your fracture risk in long term studies.

Yes, I read that in the specialist books I bought for my own research and was very deflated when the "specialist" wasn't aware of vitamin k2. I used to buy fresh Natto in Australia at that time. Must try and find the books which educated me so I can note them for people on this thread. I learnt a lot from them and practically nothing of value from the so called specialists I saw.

Decorhate · 24/11/2025 09:00

I asked GP if I could have a DEXA scan as there is family history of osteoporosis but was told I was too young - I'm early 60s. Surely prevention is better than dealing with the consequences?

RosemaryandTruffle · 24/11/2025 08:55

Sleepyandtiredandlazy · 23/11/2025 16:54

I suffered a maisonneuve fracture of my leg last year as a result of a stupid accident. But because of my age they called me in for a bone scan to check for osteoporosis. Tbh I had absolutely no reason to believe I had, or was in danger of osteoporosis.

And right enough the scan showed no problems. But even so I got given a doctor's appointment just so the doctor could impress on me the importance of taking vitamin D, including dairy in my diet and doing weight bearing exercise.
Tbh getting called in for the appointment put me in real fear because at that point I didn't know that the scan had shown no problems. And all the things the doctor told me to do i was doing anyway.

I'm more worried about my cholesterol levels and whether my blood sugar levels indicate a possible diabetes problem but unless I was to specifically ask to be tested for these I have no way of knowing whether I have issues or potential issues with these.

So whereas I should be grateful for the care I got over osteoporosis prevention to me it highlighted the lack of care over issues which I feel are potentially much more likely to affect me.

Thing is it is not as simple as that. Vitamin D and "dairy" are not the answer. "Dairy" is such a lazy answer. There is much more calcium in other foods stuffs and it's important to eat those (almonds, brocolli, acid-forming foods etc etc).

strongermummy · 24/11/2025 08:43

Dr Stacey Sims is excellent on this topic.
on all social media channels (I follow her on Instagram)
she advocates jumping and weights to improve bone health. Based on the LIFTMOR study.

https://www.drstacysims.com/newsletters/articles/posts/bone-health

Jump to Improve Your Bone Health!

We all lose bone as we age, and the long-term effects of this are osteoporosis and an increased risk of bone fracture. Learn what you can do to counteract this.

https://www.drstacysims.com/newsletters/articles/posts/bone-health

Delatron · 24/11/2025 08:28

Fraudornot · 23/11/2025 22:00

Can anyone tell me if weightlifting is better than running for bone health

Weightlifting is better. But if you can fit in some jump training in top of that then that’s helpful too. So skipping or box jumps. This was advice from a physio.

Lastminutenoworries · 24/11/2025 08:23

What does everyone think about taking biphosphonates.

Doingtheboxerbeat · 24/11/2025 01:31

ghostiewhisp · 24/11/2025 00:39

Yeah I think it’s October - March everyone should take it as you’re not getting any noticeable vitamin d
I take this one and it’s a years supply

https://amzn.eu/d/hkOkpDE

Thank you so much.

GoodThings2025 · 24/11/2025 00:50

I agree, osteoporosis stats are shocking. I do think in 10-15 years the NHS will catch up with the fact that strength training is important but right now it's all about weight loss drugs.

I spent my 20s doing tonnes of yoga and very little strength training. I do take vitamin D and K2 religiously and eat a lot of Yoghurt for calcium. I did 6 months of heavy weight lifting in my early 40s, squatting my body weight etc. Just about to get back into it again. My bone density did increase when I was lifting.

neilyoungismyhero · 24/11/2025 00:49

Indicateyourintentions · 23/11/2025 18:13

I don’t think that’s entirely accurate. I improved my Dexa results, as in my bone density improved with weight bearing excercise and the addition of 10 minutes a day on a vibration plate.
I asked the Dexa machine technician who was a similar age to me , sixties, if she had had herself scanned and she was outraged. ‘Of course not’ she said, ‘my doctor will tell me if I need a scan.’ Dream on lady.
Vibration plates are shipped up to space stations as all astronauts lose bone while in space. You need the ones that do vertical vibrations rather than side to side as that has the better impact on building density. I’ve just bought a new one from Bluefin for £120. It’s fab and helps with my lower back pain too.

Would you be kind enough to advise which one you have bought please.

ghostiewhisp · 24/11/2025 00:39

Doingtheboxerbeat · 24/11/2025 00:17

I'm one of those 🤚 I was told by a doctor years ago that it was a waste of time/money will be peed out and I never forgot that 🫣. Putting it on my shopping list tomorrow.

I do go out in the daylight everyday for 30 minutes minimum though 👀.

Yeah I think it’s October - March everyone should take it as you’re not getting any noticeable vitamin d
I take this one and it’s a years supply

https://amzn.eu/d/hkOkpDE

Amazon.co.uk

Amazon.co.uk

https://amzn.eu/d/hkOkpDE?tag=mumsnet&ascsubtag=mnforum-am-i-being-unreasonable-5448946-to-think-osteoporosis-is-shockingly-sidelined-by-healthcare-professionals-in-the-uk

Wreckinball · 24/11/2025 00:21

its a horrific disease, more so for those who have multiple spinal fractures in pregnancy/ post partum and are dismissed as malingers often for many months- check it out.
we need much more awareness both generally and in the medical profession. They say it’s rare but that’s because it’s under diagnosed.
mums are getting older and I think it’s going to get worse

Doingtheboxerbeat · 24/11/2025 00:17

ghostiewhisp · 24/11/2025 00:07

I think a lot of people don’t know anything about vitamin D, people seem surprised I take it
I work in a place with no windows! So 4000IU daily and I’ve done high dose courses before as I was so deficient

I'm one of those 🤚 I was told by a doctor years ago that it was a waste of time/money will be peed out and I never forgot that 🫣. Putting it on my shopping list tomorrow.

I do go out in the daylight everyday for 30 minutes minimum though 👀.

ghostiewhisp · 24/11/2025 00:07

I think a lot of people don’t know anything about vitamin D, people seem surprised I take it
I work in a place with no windows! So 4000IU daily and I’ve done high dose courses before as I was so deficient

Doingtheboxerbeat · 23/11/2025 23:53

Fraudornot · 23/11/2025 22:00

Can anyone tell me if weightlifting is better than running for bone health

Definitely weightlifting, I don't know much but I know that.

PurpleCyclamen · 23/11/2025 22:23

Coeliac disease is a big cause of osteoporosis. 1:100 people have Coeliac disease but only a third of them are actually diagnosed (it takes on average 13 years for Coeliac disease to be diagnosed.

If you have any Coeliac symptoms eg mouth ulcers, fatigue, low iron, miscarriages/infertility, abdominal pain (although many people don’t have abdominal symptoms), irritable bowel syndrome, osteoporosis, abnormal liver function on a blood test, then please get checked for Coeliac disease.
If you have CD you should receive bone scans.

www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/what-are-coeliac-disease-symptoms/?&&type=rfst&set=true#cookie-widget

Sillystring100 · 23/11/2025 22:12

My DM is severely affected by osteoporosis however my GP could
not refer me for a Dexa scan as I do not meet the criteria. Does anyone have any recommendations for a company that offers these scans privately and then offers medical advice if needed? After seeing how dreadful this condition is I’m terrified of getting it myself.

Fraudornot · 23/11/2025 22:00

Can anyone tell me if weightlifting is better than running for bone health

WearyAuldWumman · 23/11/2025 21:51

To answer your original question, @OP , healthcare professionals in the UK are often woefully lacking in knowledge.

One time when i tried to access better treatment for my late mother, her GP said "But osteoporosis isn't painful!"

Pavementworrier · 23/11/2025 21:36

PauliesWalnuts · 23/11/2025 21:30

Another group of people (men and women) who are at high risk of osteoporosis are epileptics who take AEDs as they cause bone thinning. Epileptic people tend to break bones more easily anyway due to the way they fall as they start to have a seizure.

My brother was diagnosed with osteoporosis at 32 when he’d only been on AEDs for a decade. His dexa scan showed compound fractures in his spine and he was in constant pain but not enough for an operation apparently. He died of a seizure at 47 and his post mortem showed that he had lost SIX inches in height since he was 21.

That's awful I'm so sorry to hear it.

OP posts:
Mymaloy · 23/11/2025 21:32

Can anyone recommend a vibration plate?

PauliesWalnuts · 23/11/2025 21:31

A bit more info on the effect of AEDs here -
Certain long-term antiepileptic drugs (AEDs) like
carbamazepine, phenobarbital, phenytoin, primidone, and sodium valproateare linked to an increased risk of osteoporosis due to mechanisms like vitamin D metabolism disruption, hormonal imbalances, and direct effects on bone cells. These drugs, particularly enzyme-inducing ones, can lower bone mineral density over time, leading to a higher risk of fractures. It is crucial to not stop taking prescribed AEDs, but individuals with risk factors should discuss bone health monitoring with their doctor, including a potential bone density scan.