This is a good point. At 63 years old, four years ago, the neurologist would have known I was post menopause and should have referred me to an endocrinologist. He warned me the Prednisone could blow out my hip. I was dealing with autoimmune sudden hearing loss, so this was my priority at the time. I asked my PCP for a DXA scan. I think she made the biggest mistake by scheduling my follow-up DXA scan 3 years after my initial osteoporosis diagnosis at -2.8. I had no idea how wrong she was when she assured me this was a very slow progressing condition and no idea how serious a disease this was! Thank goodness I initially asked for the DXA scan or I would be unaware of my -3.5 now! I am focusing now on my good fortune not having any fractures so far, hoping my bone quality may have saved me and rapidly educating myself before my endocrinologist consult.