Low delta(15)N values of Wurmian cave bear (Ursus spelaeus) bone collagen indicate a strictly vegetarian diet, and negative delta(13)C values suggest a forested habitat. Tooth collagen delta(15)N values are about 2 parts per thousand higher than bone collagen within one individual, similar to that found in the modern black bear (UI sus americanus). These data suggest an influence of a N-15-enriched milk diet during the synthesis of tooth collagen, which is partly formed before weaning. Thus, tooth collagen delta(15)N values are not reliable for adult diet reconstruction. Tooth collagen delta(13)C values are around 1 parts per thousand lower than bone collagen, suggesting a C-13- depleted milk diet. A similar pattern of variation is seen in the average delta(13)C and delta(15)N values of several individuals from one locality. Enamel carbonate hydroxylapatite delta(13)C values are low in cave bears (around -14 parts per thousand) when compared to carnivores (around -12 parts per thousand) and herbivores (-10 parts per thousand). This is probably due to lipid use while hibernating during winter. A similar pattern of enamel carbonate hydroxylapatite delta(13)C values differences is found between Deninger's bear (Ursus deningeri), carnivores and herbivores in 200,000 to 600,000 year old caves, suggesting a similar physiology for both fossil bear species.