@isabelle7 you have posted a few times about exercise. I, myself, would not rely on diet and exercise with a -3.3 lumbar spine score. But then, I have lumbar fractures and know what that is like: painful and disabling.

Others may have differing opinions.

As I mentioned, I did Tymlos because the dose is adjustable, so it was a good fit because I am sensitive. (Many of us avoid Prolia because if rebound: my doctor doesn't use it.)

What is the doctor prescribing and is insurance cooperating?