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@cat1203 I have to express some support for the comment by @juanitalinda and her doctor. The risk of fracture is much higher without meds. What you are describing is kind of a Russian Roulette approach. Some of us have lost!
I am not pro-med necessarily for osteopenia or even early osteoporosis but as someone with 7 spinal fractures I am on this forum to encourage others to try meds and avoid what I have been through- pain, disability and even (temporary so far) loss of independence.
Osteoporosis has no symptoms and we feel strong. But the risk is there and if bone density and/or quality declines enough, we can fracture while coughing.
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Truth. I knew someone many years ago who eventually couldn't ride in a car because a bump in the road would cause fracture. I feel fortunate to live in a time where we have meds to fight this battle, even though they are not perfect.
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I think what I described were accurate and true statements about potential outcomes regardless of whether one is on meds or not. Of course the risk of fracture is there. Whether the risk of fracture is much higher without meds I think is a blanket statement that does not take into account an individual's particular risk level. I am not advocating a Russian Roulette approach to taking meds or trying to discourage anyone from taking them, or from taking their doctor's advice. Nor am I trying to encourage anyone to take them because of my own personal outlook or experience. It's their decision. Nevertheless, I stand by my opinion that no doctor can say definitively that they KNOW you will fracture if you are not on a med.