11/02/2026
Most people don't think about their bones until one breaks. Veterans probably should start thinking about it sooner.
Bone density loss — osteoporosis and its precursor osteopenia — is more common in veterans than the general public, and it often goes undetected for decades. Multiple factors from military service accelerate bone loss: prolonged physical stress on joints, nutritional deficits during deployments, smoking, heavy alcohol use, and certain medications used long-term for pain or PTSD.
Here's how bone density actually works: you build most of your peak bone mass before age 30. After that, the balance shifts toward gradual loss. How fast you lose depends on lifestyle factors, hormones, and genetics. For many veterans, that curve runs steeper than it should.
The real danger is that osteoporosis has no symptoms until a fracture happens. A fall that would leave someone younger with a bruise can cause a hip fracture in someone with severe bone loss — and hip fractures in older adults carry serious long-term consequences.
What actually helps:
Weight-bearing exercise is the most effective non-pharmaceutical intervention. Walking, running, resistance training — these signal the body to maintain bone density. Swimming and cycling are excellent for cardiovascular health but don't provide the bone-loading stimulus.
Calcium and vitamin D work together. You need both. Most Americans are deficient in vitamin D, and deficiency is even more common in veterans who've served in certain climates or spent time indoors. A blood test can tell you where you stand. The VA can order it.
Smoking and excessive alcohol directly accelerate bone loss. If you're doing either, that's the highest-leverage change you can make.
A DEXA scan is the gold standard for measuring bone density. If you're over 50, male with risk factors, or a woman post-menopause, ask your VA provider about getting one.