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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:
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YelramBob · 23/11/2025 17:30

W0tnow · 23/11/2025 17:22

It really is. You said yourself that it’s all over Tik Tok. Tik Tok’s been around what?Less than 10 years? Fine for the younger demographic.

I'm not on Tik Tok (I'm old so do Facebook and YouTube) but that's how young people get their information these days.

I started martial arts 30 years ago and the instructor told us then how important it was to strengthen your bones through exercise. It's not a new thing.

W0tnow · 23/11/2025 17:29

@Carriemac I think dexa scans should be offered at a certain age… like a mammogram is. That’s what more they can do. Because the indication currently is when a bone is broken, which is too late.

Parsleysalad · 23/11/2025 17:27

orbital12 · 23/11/2025 17:07

Same here. It can be pretty depressing, the many many threads (and people irl) saying women must get on HRT immediately or our lives will be terrible - physically, mentally and emotionally.

Edited

Exactly and not a chance I'll ever want to take HRT

GreyCloudsLooming · 23/11/2025 17:27

Pavementworrier · 23/11/2025 16:57

God that is hard. Did anything happen in between that suggests a cause?

I think that thyroid disorders can be a big issue and also obviously common in women around menopause

Treatment for breast cancer. It weakens your bones. And I’m not supposed to have dairy because I have high cholesterol - also a side-effect of treatment.

PolyVagalNerve · 23/11/2025 17:25

W0tnow · 23/11/2025 17:22

It really is. You said yourself that it’s all over Tik Tok. Tik Tok’s been around what?Less than 10 years? Fine for the younger demographic.

Really ??
im knocking on sixty
never been on the tik tok -
this advise / health promotion info has been around for decades !

W0tnow · 23/11/2025 17:25

@EmeraldRoulette i believe Queen Camilla is a vocal supporter of an osteoporosis charity and has been for some time. Her mother died as a result of osteoporosis, I believe.

PolyVagalNerve · 23/11/2025 17:24

Carriemac · 23/11/2025 16:59

YABU just becase we need to take responsibility for our own health it’s not up to healthnpredessionals to nag us about the bleeding obvious of a healthy balanced diet and excercise and HRT if indicated etc .

I agree with this

The osteoporosis/ osteopenia prevention advice is not rocket science -

eat a healthy balanced diet
don’t smoke
limit processed foods
exercise
weight bearing exercise is good for maintaining bone density
take HRT unless contraindicated -

dexa scans are given to those who require it -
e.g. anorexia

what more can the NHS do ??

W0tnow · 23/11/2025 17:22

YelramBob · 23/11/2025 17:13

Come on. Even if you read the Daily Mail or watch Tik Tok there are thousands of articles/videos on there about bone health, it's not a new thing.

It really is. You said yourself that it’s all over Tik Tok. Tik Tok’s been around what?Less than 10 years? Fine for the younger demographic.

Enrichetta · 23/11/2025 17:22

It‘s not just a question of taking or not taking HRT. Two of the most effective ways of preventing osteoporosis are:

  • taking Vitamin D (and getting levels checked regularly)
  • exercising with weights/dumbbells
RedToothBrush · 23/11/2025 17:20

It's something that affects more women than men.

Of course it's fucking overlooked! What the hell do you expect?!

The medical profession in the UK to give a remote shit about women?

I mean, come on! Don't be fucking ridiculous now...

(And this is the reality of any health care issue in the UK apart from corporate sponsored breast cancer awareness weeks).

EmeraldRoulette · 23/11/2025 17:19

Do you mean like a public information campaign? That's a good idea. I must admit I get quite annoyed with some of the public information campaigns, you can't get a bus without being told about lots of horrible diseases that you might get. But yeah, this one doesn't get talked about.

There's a lot of osteoporosis on both sides of my family, men too. Everyone has been treated well and thoroughly. The treatments are not without risk but looking at those people in the family, all dead now, they would've been diagnosed in their 50s and it wasn't common knowledge then.

The thing about building bone density, I think it's worth telling teenagers that. I didn't find school PE any use, particularly as I'm physically incompetent. But as soon as I turned 18, I went to the gym and started doing weights but I was lucky that my uncle told me to do that. But maybe school P E is different now? I certainly hope so.

my parents went on at me about calcium and vitamin D, so I was lucky there too.

dad ended up with osteopenia in spite of his best efforts and he had to take a bunch of stuff but the injection that's available now was not available when he was diagnosed.

Pavementworrier · 23/11/2025 17:16

W0tnow · 23/11/2025 17:15

No they aren’t. I’d never heard of it before my mother was diagnosed. I was in my 30s. I’m in my late 50s now.

Actually that’s not quite true, I think I had heard of it, but I thought it was kind of inevitable and you only started to suffer when you were very old. Not in your 40s.

Edited

Agree. I had heard of it but I thought it was only an issue if you didn't keep on top of normal health. And I don't think, for example, that many women prescribed levothyroxine are told that it can hasten loss of bone density.

OP posts:
W0tnow · 23/11/2025 17:15

YelramBob · 23/11/2025 17:07

I can't take HRT due to BC. I have an IV infusion every six months to strengthen my bones and take daily calcium and Vitamin D tablets. I've exercised all my life but a sudden chemical menopause put me at risk of osteoporosis.

Young women are warned (and have been warned for years) about the risk of osteoporosis later in life but choose to ignore it, it's the arrogance of youth.

No they aren’t. I’d never heard of it before my mother was diagnosed. I was in my 30s. I’m in my late 50s now.

Actually that’s not quite true, I think I had heard of it, but I thought it was kind of inevitable and you only started to suffer when you were very old. Not in your 40s.

orbital12 · 23/11/2025 17:13

Pavementworrier · 23/11/2025 17:10

I mean I literally didn't say that. I said in a separate paragraph that it's something I'm personally looking into.

Take vitamin d.

Sorry - I didn't mean to imply that you said that at all, I was just talking generally and commiserating with people in the same position as it can feel quite isolating. Sorry, didn't mean to derail your thread.

YelramBob · 23/11/2025 17:13

Pavementworrier · 23/11/2025 17:07

How can you take responsibility for something you didn't know was possible? Healthy eating by some measures is actually bone unhealthy, for example.

Come on. Even if you read the Daily Mail or watch Tik Tok there are thousands of articles/videos on there about bone health, it's not a new thing.

Pavementworrier · 23/11/2025 17:10

orbital12 · 23/11/2025 17:07

Same here. It can be pretty depressing, the many many threads (and people irl) saying women must get on HRT immediately or our lives will be terrible - physically, mentally and emotionally.

Edited

I mean I literally didn't say that. I said in a separate paragraph that it's something I'm personally looking into.

Take vitamin d.

OP posts:
Pavementworrier · 23/11/2025 17:09

TheSmallAssassin · 23/11/2025 17:06

Surely overweight people's bones are in better shape because they bear more weight?

I think the inflammation that accompanies excess weight can interfere with the process of dissolving and reforming bone cells (which happens within us constantly). Although I suspect being a bit overweight is generally better than being underweight.

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orbital12 · 23/11/2025 17:07

GreyCloudsLooming · 23/11/2025 16:46

And what about all the women who can’t take HRT? I’m one of them.

Same here. It can be pretty depressing, the many many threads (and people irl) saying women must get on HRT immediately or our lives will be terrible - physically, mentally and emotionally.

YelramBob · 23/11/2025 17:07

I can't take HRT due to BC. I have an IV infusion every six months to strengthen my bones and take daily calcium and Vitamin D tablets. I've exercised all my life but a sudden chemical menopause put me at risk of osteoporosis.

Young women are warned (and have been warned for years) about the risk of osteoporosis later in life but choose to ignore it, it's the arrogance of youth.

Pavementworrier · 23/11/2025 17:07

Carriemac · 23/11/2025 16:59

YABU just becase we need to take responsibility for our own health it’s not up to healthnpredessionals to nag us about the bleeding obvious of a healthy balanced diet and excercise and HRT if indicated etc .

How can you take responsibility for something you didn't know was possible? Healthy eating by some measures is actually bone unhealthy, for example.

OP posts:
Shedmistress · 23/11/2025 17:07

I had an early menopause and by 49 had osteoporosis. My actual day job was as the head gardener of a place where I'd done about 12000 steps before elevenses. I was constantly carrying heavy stuff, walking about, lifting and stretching and digging and carrying and kneeling...it was non stop. I didn't even have a desk let alone sit at one for hours on end. So exercise alone isnt the answer.

HRT literally saved my life. What alot of people don't understand either is that if you have ever broken a bone, your body takes bone material from your bones to mend the broken bones which puts you at higher risk of osteoporosis, broken bones arent a sign of it they are also a cause of it...so along with an early menopause really hightens the risk.

TheSmallAssassin · 23/11/2025 17:06

YelramBob · 23/11/2025 16:48

I think the 'Body Positivity' shit has a lot to answer for. Young women shouldn't be told it's ok to be overweight and embrace their size.

Surely overweight people's bones are in better shape because they bear more weight?

toomuchfaff · 23/11/2025 17:06

GreyCloudsLooming · 23/11/2025 16:46

And what about all the women who can’t take HRT? I’m one of them.

whataboutism..

OP isnt suggesting they have all the answers, just that people shouldn't do nothing... so what about people who cant take HRT, what will you do?

W0tnow · 23/11/2025 17:03

Carriemac · 23/11/2025 16:59

YABU just becase we need to take responsibility for our own health it’s not up to healthnpredessionals to nag us about the bleeding obvious of a healthy balanced diet and excercise and HRT if indicated etc .

I’ve always had a healthy balanced diet. Always. Some of it is genetic. Some of us have to work harder to maintain and restore bone density. The point is, you just don’t know, as there are no telltale symptoms.

Having a medical professional discuss osteoporosis when talking about HRT is not nagging. It’s healthcare.

Carriemac · 23/11/2025 16:59

YABU just becase we need to take responsibility for our own health it’s not up to healthnpredessionals to nag us about the bleeding obvious of a healthy balanced diet and excercise and HRT if indicated etc .