@nialab your scores are pretty good and you don't have osteoporosis except for femoral neck where it is mild (and my reports say not to rely on femoral neck to measure changes). Many doctors are not medicating patients in your situation. I think you may be better off with a holistic approach for now, depending on your FRAX score.

That said, my main reason for participating in the forum is to encourage those with more severe osteoporosis to try medications- bone builders first- so they don't end up like me with several spinal fractures!