Judy and Linn
This seems a difficult situation. I understand that the bone loss rebounds
post weaning. I read w/ interest the researcher who reviewed the lit and is
now researching weight bearing exercise. Your particular case may be a
combination of several factors [and I'm just speculating here]:
long term bf without much time to rebound in between babies [she's been preg
or bf x 10.5 yrs]? Maybe bodies need more time to rebound?
the pregnancies cause stress on spine?
does she have other risk factors like small frame {like does she weigh under
100 lbs like me? ]
another risk factor is minimal weight bearing exercise?
needs to improve her diet, specifically calcium and other nutrients that
would affect bone mineralization?
After looking at these factors with the client, I would offer this as an
alternate to weaning:
1. referral to a nutritionist to assess risk factors and improve same
2. referral to a physical therapist or exercise physiologist to develop a
plan for appropriate exercise to improve bone mineralization and to protect
her body/bones in their current state from further stress/injury.
3. sounds like she can take the calcitonin therapy
4. monitor bone density via xrays or scans to see if the above are helping
5. if absolutaely necessary, she could do partial weaning if above plan does
not work.
Good luck to all. -



Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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