@ppat4pr it is true that anti-resorptives like Fosamax affect bone turnover , and it is turnover that creates new, quality bone. Bone density improves, however, on Fosamax. If Fosamax is used for a short time, the dental and femur fracture side effects are rare. At a certain age, I would even consider Prolia, but it is very hard to get off.

With osteopenia you may be able to try more natural approaches first, especially with the help of your more holistic doctor. But be careful. I am buying a hip pad for icy weather! Do your two doctors communicate? Is it a PCP who is recommending meds or an endocrinologist?

I will say that for my mother, starting at age 88, falls were an issue, so working on balance is a good idea too!