Protecting your bones while on PPI's

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Regular Member

Date Joined Apr 2009
Total Posts : 51
   Posted 2/16/2014 8:27 AM (GMT -6)   
I have always heard that ppi's can interfere with calcium, vitamin d and vitamin B12 absorption and was wondering what would counteract the bad affects of ppi's on your bones. Does anyone know if taking the liquid vitamins would help?? I don't want to get bad bones and break a hip or something.
Any info appreciated.

Regular Member

Date Joined Feb 2013
Total Posts : 49
   Posted 2/16/2014 8:52 AM (GMT -6)   
Hi there. I just take calcium supplements twice a day.

Regular Member

Date Joined Apr 2009
Total Posts : 51
   Posted 2/16/2014 9:29 AM (GMT -6)   
I take calcium twice a day also. From everything I have read calcium citrate is the best for ppi users, and I also have read the liquid or powder that you mix absorbs much better than the pill form. Would like to know if anybody does the vitamins and calcium in this form and has had good results.

Regular Member

Date Joined Dec 2013
Total Posts : 63
   Posted 2/16/2014 4:33 PM (GMT -6)   
Liquid or powder, or even capsules, are preferable to pills for those on PPIs. I would also take magnesium, potassium, Vitamins D, B12, and K2, while on PPIs. Proper calcium absorption is not easy under the best of circumstances. It requires magnesium, D, and fat just to get into the blood stream. Then it requires K2 to get it out of the blood stream and into the bones and organs where it's needed.

Post Edited (rjdriver) : 2/17/2014 3:50:47 AM (GMT-7)

Forum Moderator

Date Joined Feb 2009
Total Posts : 7180
   Posted 2/16/2014 8:58 PM (GMT -6)   
Hi nofun,
Be sure to get as much calcium as possible in your diet. You can also supplement 1200 units via supplements. Also, take at least 2000 units of vitamin D (via my PCP), and get regular weight-bearing exercise (like walking). I also have steroid exposure because of my asthma, so I've gotten a double whammy.

The supplemental calcium has become an issue after a study linking it to heart problems (atherosclerosis). There is still plenty of disagreement about this. My past PCP (I keep in touch with him via email) wants me to continue supplements. My new PCP wants me to get the calcium via diet. My GYN suggest splitting the difference. 600 units of calcium via supplement and the rest via diet. She recommended drinking milk, which has 300 units/cup.

Here's a link that speaks to the calcium supplement risks that have been discussed lately:

I don't know how old you are, but at some point you can get a dexascan to see how your bone density is holding up. Mine has been maintaining itself over the last 8 years or so.

Good luck with your search for answers!

GERD/Heartburn Moderator
Nissen Fundoplication 2/09

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Regular Member

Date Joined Apr 2009
Total Posts : 51
   Posted 2/17/2014 11:22 AM (GMT -6)   
I have been taking calcium in the form of gummies. I just ordered some calcium, vitamin d and B12 in the powder for to mix with a liquid hoping it absorbs better. I have had two bone density scans a few years ago and am due for another one. The last one I was on the edge of normal.

Finished going to menopause 13 years ago (going on 60 now) and that's when I started getting horrible acid reflux. I'm on Aciphex 20 now and it's working great. I also have been diagnosed with Barrett's so I have to be on ppi's.

It's good to know your bone health has been stable. That's what I want. Thanks for the link.


Regular Member

Date Joined Oct 2012
Total Posts : 359
   Posted 2/17/2014 12:49 PM (GMT -6)   
I was on a massive dose of PPI's for 6 months before I had LINX surgery. Between the PPI's and me not being able to eat anything but steamed chicken I was malnourished and found out my I was at the beginning stages of osteoporosis. At that time I was 30 years old. I have since made sure to take high grade vitamins and go to the gym at least 4 times a week. I just do the circuit, about 20-30 reps on the machines and then swim. It really does help stop the progression.
GERD - LINX January 15, 2013
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