{"id":62222,"date":"2026-05-21T18:14:49","date_gmt":"2026-05-21T18:14:49","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=62222"},"modified":"2026-07-28T13:40:12","modified_gmt":"2026-07-28T13:40:12","slug":"ibd-and-osteoporosis-bone-health","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/ibd-and-osteoporosis-bone-health\/","title":{"rendered":"IBD and Osteoporosis: What You Need to Know About IBD and Bone Health"},"content":{"rendered":"\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-4fc3f8e1 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading\"><\/h3>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Living with inflammatory bowel disease (IBD), such as Crohn\u2019s disease or ulcerative colitis, can affect more than your digestive system. Many people are surprised to learn that IBD can also weaken bones, increasing the risk of osteoporosis. Osteoporosis&nbsp;is&nbsp;a condition where bones become thin, fragile, and more likely to break.<sup>1-4<\/sup><br>This article explains how IBD and osteoporosis are connected, who is at risk, how to protect your bone health, and it provides an overview of the treatment options used for osteoporosis.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Is Osteoporosis?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Osteoporosis is a disease that happens when the body loses bone faster than it can build new bone. Osteoporosis makes bones weaker over time, so they can break more easily.&nbsp;Breaks happen most commonly in&nbsp;the bones in&nbsp;the spine, hip, and&nbsp;wrist.<sup>3,4<\/sup><br>Osteoporosis is more common in people with IBD, and it may occur at younger ages than in the general population.<sup>1,2<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-osteoporotic-bone-1-1024x460.webp\" alt=\"Close-up drawing of spinal bones showing weakened, porous bone typical of osteoporosis, with a speech bubble that says \u201cAsk me about increased risk\u201d and a small image of Karla, CDHF\u2019s AI expert, in the corner.\" class=\"wp-image-62291 lazyload\"><noscript><img decoding=\"async\" width=\"1024\" height=\"460\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-osteoporotic-bone-1-1024x460.webp\" alt=\"Close-up drawing of spinal bones showing weakened, porous bone typical of osteoporosis, with a speech bubble that says \u201cAsk me about increased risk\u201d and a small image of Karla, CDHF\u2019s AI expert, in the corner.\" class=\"wp-image-62291\"><\/noscript><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How IBD Increases the Risk of Osteoporosis<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Long-term inflammation affects bone health: <\/strong>Inflammation because of IBD can weaken bones by slowing down the cells that build new bone and speeding up the cells that break bone down. Long-lasting inflammation in the gut can also release certain proteins, called inflammatory cytokines, that make bone loss even worse.<sup>1,2<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Steroid use can thin bones: <\/strong>Steroids, which are sometimes used during IBD flare-ups, can make it harder for the body to absorb calcium and can slow down the cells that build bone. Using steroids for a long time, or many times, may raise the risk of osteoporosis.<sup>1,2,4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Poor absorption of vitamin D: <\/strong>Along with gut inflammation, diarrhea, a common symptom of IBD, can make it harder for the body to absorb vitamin D. Your bones need vitamin D to absorb calcium and stay strong.<sup>1,2,5<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lower body weight: <\/strong>Many people with IBD struggle to maintain a healthy body weight, especially during flares. Low body weight is a known risk factor for bone loss.<sup>1,2,4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Changes in hormones: <\/strong>IBD and low nutrient levels can impact hormones that regulate bone health, increasing the risk of bone loss.<sup>2,4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Less physical activity: <\/strong>Fatigue, pain, or other IBD symptoms may reduce physical activity, which may weaken bones over time.<sup>2,4<\/sup><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Who Is Most at Risk?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">You may have a higher risk of osteoporosis if you:<sup>1,2,4<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Have had IBD for many years<\/li>\n\n\n\n<li>Experience frequent or severe flare-ups<\/li>\n\n\n\n<li>Have taken steroid medications for long periods<\/li>\n\n\n\n<li>Are underweight<\/li>\n\n\n\n<li>Smoke or drink alcohol regularly<\/li>\n\n\n\n<li>Are age 50 or older<\/li>\n\n\n\n<li>Have a family history of osteoporosis<\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How Individuals Living with IBD Can Protect Their Bones<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Living with IBD can increase the risk of bone loss and osteoporosis. The good news is that there are things you can do to help protect your bones and support long-term health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ask your healthcare provider about a bone density test: <\/strong>A dual-energy X-ray absorptiometry (DXA) scan is a special X-ray that measures bone strength. It is recommended for people who have higher risk of osteoporosis, like those who use steroids or have had IBD for many years.<sup>1,2<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Support bone health with calcium and vitamin D: <\/strong>Eat foods that support bone health. Good sources of calcium and vitamin D include dairy products, leafy green vegetables, fish, and fortified juices, milks and grains.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Healthcare providers may check vitamin D levels and recommend supplements if needed.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Get active: <\/strong>Weight-bearing activities, such as walking, dancing, or strength training, can help build and strengthen bones.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Quit smoking and limit alcohol: <\/strong>Smoking and drinking are known to weaken bones.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stay on top of IBD treatment: <\/strong>Managing inflammation lowers the risk of bone loss and may reduce the need for steroids.<sup>6<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-bone-density-dxa-scan-1.webp\" alt=\"\" class=\"wp-image-62293 lazyload\"><noscript><img decoding=\"async\" width=\"2004\" height=\"900\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-bone-density-dxa-scan-1.webp\" alt=\"\" class=\"wp-image-62293\"><\/noscript><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Treatment Options for Osteoporosis<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you are diagnosed with osteoporosis, your healthcare provider may recommend a combination of lifestyle strategies and medications.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Healthy habits that support bone strength: <\/strong>Improving nutrition, staying active, and avoiding smoking and alcohol form the foundation of bone health.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medications that slow bone breakdown: <\/strong>Certain medications slow how quickly bone is lost. These include denosumab, bisphosphonates, calcitonin, estrogen, and drugs that change how estrogen acts in the body.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medications that help build new bone: <\/strong>Other treatments help the body form new bone. These include synthetic hormones (like teriparatide) and romosozumab.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Biosimilar\/Biologic treatments for osteoporosis: <\/strong>Biosimilar\/biologic medications are made from living cells and target specific pathways that influence bone breakdown. They help increase bone density and reduce fracture risk.<sup>7,8<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examples of biosimilar medicines used for osteoporosis treatment include Jubbonti<sup>\u00ae<\/sup> and Stoboclo<sup>TM<\/sup>, which are approved biosimilars of the biologic medicine Prolia<sup>\u00ae<\/sup> (denosumab). Osnuvo<sup>\u00ae<\/sup> is an approved biosimilar of the biologic Forteo<sup>\u00ae<\/sup> (teriparatide). Evenity<sup>\u00ae<\/sup> (romosozumab) is another approved biologic.<sup>7,9-14*<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Apo-teriparatide and teva-teriparatide are generic interchangeable versions of Forteo<sup>\u00ae<\/sup>. These generics are manufactured differently than the originator but have the same efficacy and safety.<sup>15-17*<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your healthcare provider will help you determine which medicine is right for you.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">*Examples as of December 2025. New medications may be approved by Health Canada.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Biosimilars and Biologics: What Patients Should Know<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Biosimilars provide the same clinical benefits as their biologic counterparts and meet strict Canadian standards for quality, safety, and effectiveness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For many patients, they offer an accessible treatment option for serious bone loss.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A biosimilar medication is a biologic drug that is highly similar to an existing biologic medication (known as the reference biologic drug) that have already been authorized for use and for sale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Biosimilars have been approved by Health Canada based on a thorough comparison to a reference biologic drug and may enter the market after the reference biologic drugs\u2019 patents and data protection have expired.<sup>7,8<\/sup><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Key Takeaways<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column . has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#f9f9f9\">\n<div class=\"wp-block-group padded-box is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-524f8de7 wp-block-group-is-layout-flex\"><figure class=\"wp-block-ub-image size-thumbnail is-resized\" id=\"ub-image-\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-idb-risk-colon-160x160.webp\" alt=\"\" class=\"wp-image-1 lazyload\" style=\"width: 90px; \"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-idb-risk-colon-160x160.webp\" alt=\"\" class=\"wp-image-1\" style=\"width: 90px; \"><\/noscript><\/figure>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>People with IBD have a higher risk of osteoporosis due to inflammation, steroid use, nutrient issues, and other factors.<\/strong><sup>1,2<\/sup><\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#f9f9f9\">\n<div class=\"wp-block-group padded-box is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-524f8de7 wp-block-group-is-layout-flex\"><figure class=\"wp-block-ub-image size-thumbnail is-resized\" id=\"ub-image-\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-ibd-bone-density-160x160.webp\" alt=\"\" class=\"wp-image-1 lazyload\" style=\"width: 90px; \"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-ibd-bone-density-160x160.webp\" alt=\"\" class=\"wp-image-1\" style=\"width: 90px; \"><\/noscript><\/figure>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Bone density testing, good nutrition, and physical activity can help protect bone health in Canadians living with IBD.<\/strong><sup>4<\/sup><\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#f9f9f9\">\n<div class=\"wp-block-group padded-box is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-524f8de7 wp-block-group-is-layout-flex\"><figure class=\"wp-block-ub-image size-thumbnail is-resized\" id=\"ub-image-\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-idb-osteo-is-treatable-160x160.webp\" alt=\"\" class=\"wp-image-1 lazyload\" style=\"width: 90px; \"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/icon-idb-osteo-is-treatable-160x160.webp\" alt=\"\" class=\"wp-image-1\" style=\"width: 90px; \"><\/noscript><\/figure>\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>Osteoporosis is treatable, and many effective medications, including biologics and biosimilars, are available.<\/strong><sup>7,8<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"banner-link\"><strong>If you\u2019re living with IBD, talk to your healthcare provider about your bone health. Early action helps keep your bones strong for the future.<\/strong><\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns no-gap-mobile has-background is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\" style=\"background-color:#f9f9f9\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:130px\"><figure class=\"wp-block-ub-image size-full is-resized\" id=\"ub-image-\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-karla-ai-expert-headshot-1.webp\" alt=\": Portrait of Karla, CDHF\u2019s AI expert, depicted as a woman with long dark hair looking at the camera.\" class=\"wp-image-1 lazyload\" style=\"width: 160px; \"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-karla-ai-expert-headshot-1.webp\" alt=\": Portrait of Karla, CDHF\u2019s AI expert, depicted as a woman with long dark hair looking at the camera.\" class=\"wp-image-1\" style=\"width: 160px; \"><\/noscript><\/figure><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-large-font-size\">NEW! Ask Karla!<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Karla can help you make sense of how GI conditions can affect your bone health. Ask her about things like inflammation, nutrient absorption, and osteoporosis risk.<br>Please remember that Karla does not replace the advice of your doctor. Be sure to discuss any concerns or next steps with your healthcare provider.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Click Start to begin your conversation. <\/strong>When you are finished with your conversation, please click \u2018X\u2019 and complete a short survey about your experience.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Please note: <\/strong>When the pop-up appears in the top-left corner, click Allow to enable your microphone.<\/p>\n<\/div>\n<\/div>\n\n\n\n<!-- Language: English | URL: https:\/\/api.rxchainge.com\/r\/9e4348fa -->\n<iframe\n  src=\"https:\/\/api.rxchainge.com\/r\/9e4348fa\"\n  allow=\"microphone *; autoplay *\"\n  style=\"display:block;width:100%;height:70vh;border:solid 1px oklch(0.95 0.06 353.06);border-radius:8px;\"\n><\/iframe>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Experiencing issues with our AI Agent Karla? Let\u2019s get that fixed. Contact tech support at <a href=\"mailto:info@rxchainge.com\">info@rxchainge.com<\/a><\/p>\n\n\n\n<script type=\"application\/json\" id=\"rxchainge-page-context\">\n{\n  \"topic_tags\": [\"IBD\", \"osteoporosis\", \"bone density\", \"steroids\", \"vitamin D\"],\n  \"jurisdiction\": \"CA\",\n  \"language\": \"en\",\n  \"assistant_mode\": \"Ai nurse_support\",\n  \"allowed_intents\": [\"risk_check\", \"bone_test\", \"treatment_info\"],\n  \"disclaimer_level\": \"medical_non_diagnostic\",\n  \"content_version\": \"CC11\"\n}\n<\/script>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-separator has-alpha-channel-opacity gradient-divider\"><\/div>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-524f8de7 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading\">Powered by<\/h3>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-a8af25ff\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-medium\"><a href=\"https:\/\/rxchainge.com\/?gad_source=1&amp;gad_campaignid=22041930135&amp;gbraid=0AAAAAq3FXJkqppIAu0UsO5K0yrZfasjTu&amp;gclid=CjwKCAjwpqHTBhAcEiwAj2Afuru9Q_ZXLfoB7xGAu7JAn2headVwc-t20k0vCBF7uBCmgAPrLtZADBoCmrsQAvD_BwE\" target=\"_blank\" rel=\" noreferrer noopener\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/RXCHAINGE-Logo-300x34.webp\" alt=\"RXCHAINGE Logo\" class=\"wp-image-62270 lazyload\"><noscript><img decoding=\"async\" width=\"300\" height=\"34\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/RXCHAINGE-Logo-300x34.webp\" alt=\"RXCHAINGE Logo\" class=\"wp-image-62270\"><\/noscript><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-separator has-alpha-channel-opacity gradient-divider mb-2 mt-2\"><\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-524f8de7 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading\">This initiative was made possible through a financial support from Sandoz.<\/h3>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-b0b89ccb\"><\/div>\n\n\n<figure class=\"wp-block-ub-image size-medium is-resized\" id=\"ub-image-\"><a href=\"https:\/\/www.sandoz.com\/\" class=\"\" target=\"_blank\" rel=\" noreferrer noopener\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/Sandoz-Logo_RGB-Blue-1-300x40.webp\" alt=\"SANDOZ Logo\" class=\"wp-image-1 lazyload\" style=\"width: 160px; \"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/Sandoz-Logo_RGB-Blue-1-300x40.webp\" alt=\"SANDOZ Logo\" class=\"wp-image-1\" style=\"width: 160px; \"><\/noscript><\/a><\/figure><\/div>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<p class=\"overflow-break-word wp-block-paragraph\"><strong>1. <\/strong>Lima, Carla Andrade, <em>et al.<\/em> 2025. &#8220;Risk factors for osteoporosis in inflammatory bowel disease patients.&#8221; <em>World journal of gastrointestinal pathophysiology<\/em>, 6.4; 210. <strong>2. <\/strong>Kreienbuehl, Andrea, <em>et al.<\/em> 2024. &#8220;Bone health in patients with inflammatory bowel disease.&#8221; <em>Swiss medical weekly<\/em>, 154.6: 3407. <strong>3. <\/strong>Osteoporosis Canada. \u201cWhat is Osteoporosis?\u201d Available at: <a href=\"https:\/\/osteoporosis.ca\/what-is-osteoporosis\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/osteoporosis.ca\/what-is-osteoporosis\/<\/a>. Accessed December 2025. <strong>4. <\/strong>National Institute on Aging \u2013 National Institute of Health. \u201cOsteoporosis.\u201d Available at: <a href=\"https:\/\/www.nia.nih.gov\/health\/osteoporosis\/osteoporosis\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nia.nih.gov\/health\/osteoporosis\/osteoporosis<\/a>. Accessed December 2025. <strong>5. <\/strong>Osteoporosis Canada. \u201cVitamin D.\u201d Available at: <a href=\"https:\/\/osteoporosis.ca\/vitamin-d\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/osteoporosis.ca\/vitamin-d\/<\/a>. Accessed December 2025. <strong>6. <\/strong>Chedid, V. G., &amp; Kane, S. V. 2020. \u201cBone health in patients with inflammatory bowel diseases.\u201d <em>Journal of Clinical Densitometry<\/em>, 23(2), 182-189. <strong>7.<\/strong> Osteoporosis Canada. \u201cBiosimilars.\u201d Available at: <a href=\"https:\/\/osteoporosis.ca\/biosimilars\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/osteoporosis.ca\/biosimilars\/<\/a>. Accessed December 2025. <strong>8. <\/strong>Government of Canada. \u201cBiosimilar biologic drugs.\u201d Available at: <a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/biologics-radiopharmaceuticals-genetic-therapies\/biosimilar-biologic-drugs.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/biologics-radiopharmaceuticals-genetic-therapies\/biosimilar-biologic-drugs.html<\/a>. Accessed December 2025. <strong>9. <\/strong>Prolia<sup>\u00ae<\/sup> Product Monograph. Amgen Canada Inc. May 6, 2025.&nbsp;<strong>10.<\/strong>&nbsp;Forteo<sup>\u00ae<\/sup> Product Monograph. Eli Lilly Canada Inc. August 12, 2021. <strong>11.<\/strong>&nbsp;Evenity<sup>\u00ae<\/sup> Product Monograph. Amgen Canada Inc. June 17, 2021. <strong>12.<\/strong>&nbsp;Jubbonti<sup>\u00ae<\/sup> Product Monograph. Sandoz Canada Inc. February 16, 2024. <strong>13.<\/strong>&nbsp;Stoboclo<sup>TM<\/sup> Product Monograph. Celltrion Inc. September 17, 2025. <strong>14.<\/strong>&nbsp;Osnuvo<sup>\u00ae<\/sup> Product Monograph. AVIR Pharma Inc. March 14, 2022.&nbsp;<strong>15.<\/strong>&nbsp;Teva-teriparatide Product Monograph. Teva Canada Limited. March 6, 2019. <strong>16.<\/strong>&nbsp;Apo-teriparatide Product Monograph. APOTEX Inc. May 1, 2020.&nbsp;<strong>17.<\/strong>&nbsp;Osteoporosis Canada. \u201cParathyroid hormone analogues (PTH)\u201d Available at: <a href=\"https:\/\/osteoporosis.ca\/parathyroid-hormone-analogues\/\">https:\/\/osteoporosis.ca\/parathyroid-hormone-analogues\/<\/a>. Accessed December 2025.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Living with inflammatory bowel disease (IBD), such as Crohn\u2019s disease or ulcerative colitis, can affect more than your digestive system. Many people are surprised to learn that IBD can also weaken bones, increasing the risk of osteoporosis. Osteoporosis&nbsp;is&nbsp;a condition where bones become thin, fragile, and more likely to break.1-4This article explains how IBD and osteoporosis [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":62289,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"single-clickable-banner.php","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[60],"tags":[52,220],"class_list":["post-62222","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","tag-tags-ibd","tag-osteoporosis"],"acf":{"article_writer":[101]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2026\/02\/cdhf-patient-and-doctor-hero-1.webp","author_info":{"display_name":"Ian Wood","author_link":"https:\/\/cdhf.ca\/en\/author\/ikedev-ian\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>IBD and Osteoporosis: What You Need to Know About IBD and Bone Health - Canadian Digestive Health Foundation<\/title>\n<meta name=\"description\" content=\"IBD and osteoporosis: discover how inflammatory bowel disease can impact bone health and what you can do to reduce your risk.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdhf.ca\/en\/ibd-and-osteoporosis-bone-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IBD and Osteoporosis: Bone Health, Risks, Testing &amp; Treatment | CDHF\" \/>\n<meta property=\"og:description\" content=\"Living with inflammatory bowel disease (IBD) can increase your risk of osteoporosis. 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