Your Osteoporosis Post-Fracture Protocol


After a fracture, bones need to heal and rebuild — and good nutrition can help them do just that. There are two main nutrients that can help maintain bone health, especially while you’re healing from a fracture: calcium and vitamin D.

Calcium

About 99 percent of the body’s calcium levels are stored in the bone. But your bones aren’t the only part of your body that needs calcium — so do the muscles, heart, and blood. If calcium levels drop too low, the body pulls what it needs from the bones, weakening them and leaving you prone to a fracture.

Your calcium needs vary by age; adults ages 19 to 50 need 1,000 milligrams (mg) while women older than 50 and men over 70 need 1,200 mg.

You can find calcium in many foods, including:

  • Milk and other dairy products
  • Leafy green vegetables
  • Broccoli
  • Tofu
  • Nuts and seeds
  • Some plant-based milks (these can be fortified with calcium)

Vitamin D

Vitamin D is a fat-soluble vitamin that helps your body absorb calcium and supports healthy muscles, which may help prevent falls.

The amount of vitamin D you need each day depends on your age. Adults younger than 50 need 400–800 international units (IU); adults age 50 and older need 800–1,000 IUs. Your body produces vitamin D naturally when the sunlight hits your skin; then, it’s stored in fat.

Many people don’t get enough D, though. Some may spend too little time outdoors, for example, while some simply produce less vitamin D than others. (It also becomes harder to produce vitamin D with age.)

Only a few foods are natural sources of vitamin D. These include:

  • Salmon
  • Sardines
  • Egg yolks
  • Cod liver oil
  • Swordfish
  • Liver
  • Some milks and orange juice that are fortified with vitamin D

Your provider may want to check your vitamin D levels, to make sure you are getting adequate amounts. If not, you may want to take a supplement.

Other Nutrients

Besides calcium and vitamin D, your body needs other critical nutrients, says Rachel Fishman Oiknine, MD, a board-certified endocrinologist affiliated with MDVIP in St. Louis. These include:

  • Protein Protein-rich foods include meat, poultry, fish, and shellfish; dairy products; beans and lentils; nuts and seeds; firm tofu and tempeh.
  • Vitamin K Dark leafy greens are rich in vitamin K (and as a bonus, also high in calcium).
  • Magnesium Foods rich in magnesium include spinach, beet greens, okra, tomato products, artichokes, plantains, potatoes, sweet potatoes, collard greens, prunes, and raisins.

  • Phosphorus Phosphorus is found in animal-based protein, nuts, beans, whole grains, and dairy products.
  • Vitamin C Vitamin C is found in a wide range of fruits and vegetables, including berries, cantaloupe, tomatoes, peppers, potatoes, broccoli, spinach, and citrus fruits.



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