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Some kinds of exercise may improve bone density. Talk to your doctor about a plan that works for you and your postmenopausal osteoporosis management plan. If you already have an exercise plan, talk to your doctor about it, especially if you are a woman with postmenopausal osteoporosis at high risk for fracture. Your doctor can tell you if the type of exercise you are doing is the most appropriate for you and your bones. If exercise is not a regular part of your life, ask your doctor about your first step. Start small—but start now.

Vitamin D helps reduce your risk for fracture.

Vitamin D is one of the keys to strong bones—helping them absorb calcium.

Learn More

The right types of exercise can help bone density

Two basic types of exercise—weight-bearing and muscle-strengthening—may increase bone density and help slow bone loss. And that can reduce your risk for fracture. As little as 30 minutes a day can help increase bone density and help slow bone loss. The table below offers guidance on using exercise to benefit your bones.

  • Excercises with Bone Benefits *
  • Weight-bearing exercise
  • Muscle-strenthening exercise
Weight-bearing exercise
What is it?
Bearing your body’s weight on your feet and legs as your muscles and bones work against gravity
  • Walking
  • Low-impact aerobics
  • Dancing
Added benefits
Can improve your balance—which may reduce your risk of falling (and breaking bones)
Muscle-strengthening exercise
What is it?
Moving parts of your body, weights, or other resistance against gravity
Can be done with:
  • Free weights
  • Weight machines
  • Elastic exercise bands
Added benefits
Making your muscles stronger can help prevent the falls that can lead to fractures

*as recommended by the National Osteoporosis Foundation

Lifestyle changes that help keep bones strong

Get Dr. Schneider's expert opinion on lifestyle changes that can help you manage your condition

  Read Text Version

What positive changes can I make in my daily life to help manage my postmenopausal osteoporosis?

There are some steps you can take to help manage postmenopausal osteoporosis. Here are some of the most important:

  • Get enough calcium and vitamin D every day. You can do this by eating calcium and vitamin D-rich foods, or by taking calcium and vitamin D supplements or a combination of the two. Ask your doctor how you can get more calcium and vitamin D.
  • Exercise is another important way to help strengthen your bones. Certain kinds of exercise may help increase your bone density—like weight-bearing exercise. Exercise can also improve your balance so you have less risk of falling. Talk to your doctor before you start a new exercise regimen.

Keep talking to your doctor. Make regular appointments. Be sure to ask your doctor if you're doing all you can to help strengthen your bones.

If you are taking Prolia®, you can sign up to receive reminders and helpful lifestyle information at

Please see Prolia® Important Safety Information, full Prescribing Information, and Medication Guide.

Important Safety Information

Do not take Prolia® (denosumab) if you: have low blood calcium; or are pregnant or plan to become pregnant, as Prolia® may harm your unborn baby; or are allergic to denosumab or any ingredients in Prolia®.

What is the most important information I should know about Prolia®?

If you receive Prolia®, you should not receive XGEVA®. Prolia® contains the same medicine as XGEVA® (denosumab).

Prolia® can cause serious side effects:

Serious allergic reactions have happened in people who take Prolia®. Call your doctor or go to your nearest emergency room right away if you have any symptoms of a serious allergic reaction, including low blood pressure (hypotension); trouble breathing; throat tightness; swelling of your face, lips, or tongue; rash; itching; or hives.

Low blood calcium (hypocalcemia). Prolia® may lower the calcium levels in your blood. If you have low blood calcium, it may get worse during treatment. Your low blood calcium must be treated before you receive Prolia®.

Take calcium and vitamin D as your doctor tells you to help prevent low blood calcium.

Severe jaw bone problems (osteonecrosis) may occur. Your doctor should examine your mouth before you start Prolia® and may tell you to see your dentist. It is important for you to practice good mouth care during treatment with Prolia®.

Unusual thigh bone fractures. Some people have developed unusual fractures in their thigh bone. Symptoms of a fracture include new or unusual pain in your hip, groin, or thigh.

Serious infections in your skin, lower stomach area (abdomen), bladder, or ear may happen. Inflammation of the inner lining of the heart (endocarditis) due to an infection may also happen more often in people who take Prolia®. You may need to go to the hospital for treatment.

Prolia® is a medicine that may affect the ability of your body to fight infections. People who have weakened immune systems or take medicines that affect the immune system may have an increased risk for developing serious infections.

Skin problems such as inflammation of your skin (dermatitis), rash, and eczema have been reported.

Bone, joint, or muscle pain. Some people who take Prolia® develop severe bone, joint, or muscle pain.

Before taking Prolia®, tell your doctor if you:

  • Take the medicine XGEVA® (denosumab)
  • Have low blood calcium
  • Cannot take daily calcium and vitamin D
  • Had parathyroid or thyroid surgery (glands located in your neck)
  • Have been told you have trouble absorbing minerals in your stomach or intestines (malabsorption syndrome)
  • Have kidney problems or are on kidney dialysis
  • Plan to have dental surgery or teeth removed
  • Are pregnant or plan to become pregnant
  • Are breast-feeding or plan to breast-feed

What are the possible side effects of Prolia®?

It is not known if the use of Prolia® over a long period of time may cause slow healing of broken bones. The most common side effects of Prolia® are back pain, pain in your arms and legs, high cholesterol, muscle pain, and bladder infection.

These are not all the possible side effects of Prolia®. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit, or call 1-800-FDA-1088.

Indication Prolia® is a prescription medicine used to treat osteoporosis in women after menopause who:

  • are at high risk for fracture, meaning women who have had a fracture related to osteoporosis, or who have multiple risk factors for fracture
  • cannot use another osteoporosis medicine or other osteoporosis medicines did not work well
Full Safety Information and Indication

Important Safety Information

Do not take Prolia® (denosumab) if you: have low blood calcium; or are pregnant or plan to become pregnant, as Prolia® may harm your unborn baby; or are allergic to denosumab or any ingredients in Prolia®.

What is the most important information I should know about Prolia®?

Important safety information & Indication