I was diagnosed a few years ago with it. I get infusions once a year with “ reclast”. its once a year for 5 yrs and I’ve already seen a significant improvement from my 2nd infusion.
It’s very important for j-pouchers to take calcium & vitamin D, back in the 80’s & 90’s I could never find any that agreed with me, always made me I’ll. Now you can find allergen free everything.
Not enough calcium & D can also affect bone loss in your teeth.