I'm also really struggling with how to navigate my new osteoporosis diagnosis. I'm 66, extremely active (Pilates and power walking), eat a diet rich in calcium, don't smoke or drink alcohol. My T-scores run from 3.1-3-8. I've started on Bone Up and vitamin D. My doctor called and wanted to put me on Fosamax, but after reading about it I understand it doesn't promote new bone growth and has a recommended, limited usage. I'm not certain how to progress. I've not broken a bone, but certainly don't want to! I would like to promote bone growth far as long as possible. A friend suggested Algeacal? Thanks for any insight you all may have!