Osteoporosis after Bariatric Surgery - Here's What to Know

Article By: Rachel Ignomirello, MS, RDN, CSOWM, LDN

Bariatric Dietitian and Board-Certified Specialist in Obesity & Weight Management.

Osteoporosis can be a concerning side effect of bariatric surgery due to the altered nutrient absorption that comes with significant weight loss procedures. This condition, characterized by weakened bones and an increased risk of fractures, underscores the importance of understanding its causes and implementing effective prevention strategies. This blog explores how osteoporosis occurs post-surgery, ways to prevent it, and the critical role of calcium in maintaining bone health.

1) How does osteoporosis occur after bariatric surgery?

After bariatric surgery, the body undergoes significant changes that can impact nutrient absorption. Procedures like gastric bypass and sleeve gastrectomy alter the digestive tract, which can lead to decreased absorption of crucial nutrients such as calcium and vitamin D. These nutrients are essential for maintaining bone density. When the body doesn’t get enough of them, it starts to leach calcium from the bones to meet its needs, leading to a decrease in bone density and increasing the risk of osteoporosis. This condition can manifest several months to years post-surgery, making ongoing monitoring and nutrient management essential.

2) Preventing osteoporosis post-surgery.

Preventing osteoporosis after bariatric surgery involves proactive nutritional management and lifestyle adjustments:

• Adequate calcium intake: Ensuring sufficient calcium intake is fundamental. Adults typically require about 1,200-1,500 mg of calcium per day, which can be challenging to meet through diet alone post-surgery.

• Vitamin D supplementation: Vitamin D is critical for calcium absorption. Without adequate vitamin D, even sufficient calcium intake might not be enough to maintain bone health. Regular sun exposure and vitamin D supplements are essential.

• Weight-bearing exercise: Engaging in weight-bearing exercises like walking, jogging, and resistance training can help maintain bone density and overall skeletal strength.

• Regular bone density monitoring: Regular check-ups with your healthcare provider to monitor bone density and adjust supplementation as needed are crucial for early detection and management of bone health issues.

3) The benefits of Calcium after bariatric surgery.

Calcium plays several pivotal roles in maintaining health post-surgery:

• Bone health maintenance: Calcium is vital for maintaining strong bones. Post-surgery, ensuring you get enough calcium helps prevent the body from drawing calcium from the bones, thereby preventing bone density loss.

• Muscle function & nerve transmission: Calcium is also essential for proper muscle function and nerve transmission, both of which can be impacted by nutrient deficiencies after surgery.

For bariatric patients, specialized supplements like BariMelts Calcium are formulated to meet these unique needs. These supplements are designed to dissolve easily and be gentle on the digestive system, ensuring that bariatric patients receive the calcium they need without gastrointestinal discomfort. Incorporating such supplements into your daily routine can effectively support bone health and prevent calcium deficiencies.

4) Conclusion.

Preventing osteoporosis after bariatric surgery involves a proactive approach to nutrition and supplementation, with a particular focus on calcium and vitamin D intake.

Understanding the changes in your body's nutrient absorption and taking steps to ensure adequate nutrient intake can significantly reduce the risk of osteoporosis. Regular monitoring and the use of specialized supplements are key components in maintaining bone health and overall well-being on your post-surgery journey.

BariMelts provides general recommendations, not to be construed as medical advice. Please consult your doctor.