28/03/2026
Long-term PPI use may slightly reduce calcium absorption (10-25% risk increase over a decade), but that doesn't mean automatic bone damage.
Here's what actually matters:
→ Your baseline bone health
→ How much calcium & vitamin D you're getting
→ Whether you're strength training
→ Your overall lifestyle
The bottom line? Managing severe acid reflux is often MORE important than worrying about a small bone density dip—especially when you can prevent it with the right supplementation & monitoring.
If you're on PPIs long-term:
✓ Add calcium (1000-1200 mg/day) + D3 (800-2000 IU/day)
✓ Get a DEXA scan after age 50
✓ Include weight-bearing exercises 3-4x/week
Don't let misinformation drive your health decisions. Get personalized advice based on YOUR bone health.
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