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All patients on corticosteroids need adequate calcium and vitamin D for protection against osteoporosis (1500 mg of calcium and 800 IU of vitamin D3 daily)and bone loss. A recent study demonstrated that bone loss on corticosteroids is more than double that of a healthy population after 4 to 5 years.  Fiber for maintaining bone density Calcium-rich foods and fiber provide more than adequate dietary calcium intake (2,000 mg daily).  Fiber is not only necessary for maintaining bone density, but also for normal tissue function. Fiber can reduce the risk of type 2 diabetes, which in turn can lead to a reduced risk of cardiovascular disease.  Bone disease is also related to decreased quality of life and overall health because of fractures and other bone disorders.  Weight loss for osteoporosis prevention Fiber may have a protective effect on bone health by reducing the risk of osteoporosis.  However, several studies have reported no benefit. One study found that the amount of calcium in the diet does not increase the risk of developing osteoporosis.  Another study concluded that fiber's beneficial effect is limited to older women; women who consumed the most fiber, from the fiber rich fruits and vegetables, actually had a worse likelihood of developing osteoporosis than those who consumed the least fiber  Osteoporosis diet Studies that have shown positive effects of a low-fiber diet on bone health include: A group led by L. L. Bischoff of the University of Colorado, Denver, found a positive effect of eating less than 2500 mg calcium daily A study by L.V. Bischoff and her colleagues at the Ludwig-Maximilians University in Munich found that a low-fiber diet led to bone loss.  A study led by H. J. Houghton of the University of Birmingham in the UK, found that a diet rich in protein and fat reduced the risk of osteoporosis (0.6 to 1.0 in 2.5 to 10 years).  A study led by L.L. Bischoff and her colleagues at the University of Colorado, Denver, found a positive effect of an alkaline diet on bone health, suggesting that a low-fiber diet might be helpful.  A study led by Ulf Röschl and Ulf Kjeldahl at the University Medicine of Lund, Norway, has shown that a high-protein ketogenic diet decreased bone loss, reduced Similar articles: