@normahorn, very true. and thanks as always for your perspective, @windyshores , @sallyj2, it is also my understanding that a .1 gain is not statistically significant.

Also important to keep in mind that arthritic changes in the spine (very common as we age) may show up as increased bone density so Dexa is not a terribly accurate modality for showing improvement.

In my experience, no amount of good nutrition or targeted exercise could improve my bones. I'm about as natural as you get, motivated and diligent in my diet and exercise regimen but ultimately, I had to make the difficult decision to embrace a pharmaceutical option to save my bones from further deterioration. And boy am I glad I did.