### Managing Long-Term Steroid Use to Minimize Osteoporosis Risk Steroids are often used to relieve pain and inflammation in chronic conditions like rheumatoid arthritis, ulcerative colitis, and atopic dermatitis. However, long-term use of steroids can increase the risk of osteoporosis, a condition where bones become weak and more likely to fracture. Here are some ways to minimize this risk: 1. **Use the Lowest Effective Dose**: Always aim to use the lowest effective dose of steroids for the shortest duration possible. 2. **Calcium and Vitamin D**: Ensure adequate intake of calcium and vitamin D to support bone health. Your doctor may recommend supplements if your diet is insufficient. 3. **Bone Density Monitoring**: Regularly monitor bone density, especially if you are on long-term steroid therapy. This helps in early detection of bone loss. 4. **Medications**: Your doctor may prescribe medications like bisphosphonates, Tymlos (abaloparatide), or Evenity (romosozumab) to help strengthen bones. 5. **Lifestyle Changes**: Engage in weight-bearing exercises like walking or lifting weights to strengthen bones. Avoid smoking and limit alcohol consumption as these can weaken bones. 6. **Sequential Therapy**: This involves starting with one medication and then switching to another to maximize bone density gains and minimize bone loss. 7. **Shared Decision Making**: Work closely with your healthcare provider to make informed decisions about your treatment plan, considering both the benefits and risks of long-term steroid use. By following these guidelines, you can help manage the risks associated with long-term steroid use and maintain better bone health.