Exclusive Content

So here we go again — another round of “what else do we need to look out for with multiple sclerosis?” This time, we’re talking bones. And let me tell you, I’m just thankful I didn’t snap anything major after my last tumble. No broken tailbone, no cracked hip, no surprise clavicle drama — just a whole lot of relief.

But let’s get real: breaks are a genuine concern for those of us with MS, especially with some of the medications we take. Long-term steroids, for example, can do a number on bone density. And when winter hits — well, let’s just say icy steps and already creaky bones are not a match made in heaven.

So here’s the scoop. Osteoporosis is when your bones decide they’re going to get a little thinner and more fragile over time. It’s not just an “old people” thing — if you’ve got MS, you might be a little more at risk than the average person. Inflammation, less mobility, and certain meds can all team up to make your bones a little less sturdy.

It’s never too late to get on top of this. If you’re worried about your bone health, have a chat with your doctor. They might suggest a bone density scan just to see where things stand. I actually received a free one because I participated in a study at the University of Illinois Chicago (it’s the kind of research study that keeps on giving). If you do need to step up your bone game, there are lots of ways to do it.

Calcium and vitamin D: These are your bone’s best friends. And here’s where that whole milk conversation comes in. According to a Kaiser Permanente article from 2023, if your milk (dairy or nondairy) isn’t fortified, it doesn’t naturally come with vitamin D. But a lot of brands do fortify their almond, oat, soy, or cow’s milk, and that’s where you get that extra vitamin D boost that helps your body absorb calcium. Fortified pea, almond, and rice milks tend to have the most vitamin D, while fortified oat, soy, and cow’s milk have a bit less.

Mix it up: Personally, I like to keep a little variety in my fridge — some chocolate cow’s milk for when I want a treat, and vanilla almond milk for a nice everyday option. That way, you get a mix of flavors and nutrients, and you can keep it fun for both you and the kiddo (or the kiddo at heart).

Keep it balanced: Alongside your calcium, make sure you’re getting enough vitamin D — whether it’s from fortified milk, a little sunshine, leafy dark greens, or a supplement if needed. And remember, calcium’s not just for bones — it also helps with muscle contractions and circulation, which is a nice little bonus for those of us dealing with MS muscle craziness.

The bottom line: there’s a lot you can do to keep those bones happy, and it’s never too late to start. We’re all just out here trying to stay upright and keep living our best lives, one steady step at a time.

Now, go wear your best milk mustache.