What is the Connection Between Steroids and Osteoporosis? A Quick Guide.

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Steroids are prescribed for the treatment of many health conditions like asthma, rheumatoid arthritis, and multiple sclerosis. Long-term use of steroids is associated with loss of bone mineral density. But, in certain cases, we cannot avoid taking steroids to maintain our health problems. 

In this post, we will talk about the relationship between steroids and bone density. 

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Let us move to our topic of discussion.

 

Effects of Long-Term Steroid Use on Bones

Studies have found that the use of steroids for a long time can significantly reduce bone mineral density and this eventually causes osteoporosis. Fractures associated with osteoporosis are also common in people who take steroids. 

Now, the question here is how this occurs. 

Steroids are known to reduce the body’s ability to absorb calcium while increasing bone breakdown. When steroids are taken for long, bone mineral density starts becoming low and in the long term, it results in osteoporosis. 

The risk of developing osteoporosis will be defined by the dose and method of steroid administration. This also varies from individual to individual. If a high dose of steroids is taken, bone loss can occur rapidly. If we talk about women, then they are at high risk of bone loss after menopause if they take steroids. 

 

How Fast Bone Loss Occurs?

The rate at which bone loss due to steroid consumption will depend on the mode and overall health status of the person. Here’s how it can be defined:

  • High bone loss can be noticed during the first 6 months after starting oral steroid consumption

  • Slow bone loss is seen with chronic use of steroids after 12 months

  • Lower chances of bone loss are there when the steroid is taken by inhalation. Whereas, long-term use may result in bone loss.

  • Short-term steroid use or application of steroids on the skin is not generally associated with bone loss.

 

How to Manage Bone Loss While Taking Steroids?

Diagnosis at the right time is the best way to keep a check on bone mineral density. DEXA scans at regular intervals are a must to notice whether bone loss is there or not while you are on steroids. If it is there, how rapid it is. 

Having this data can help doctors manage this by prescribing supplements and other medicines. Bone density checks must be done while you are on steroids and after stopping the medicine as well. 

Above all, the best way to maintain bone mineral density is to ensure optimum vitamin D levels in the body while having a calcium-rich diet. Besides this, regular exercise is also important for the growth of healthy bone cells. 


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