Osteopenia is -1 to -2.5 so your spine looks enviable in my book. Let hips is still osteopenia. Right hip is just over the line to osteoporosis.

You might want to read Keith McCormick's books "A Holistic Approach to Osteoporosis" and the more recent "Great Bones" which has the same info and much much more. He also has a lot of videos online.

Do you see an endocrinologist? Many people are not doing meds with scores like yours, but bone safety is complicated and along with density, quality is important. You can do a FRAX score (look it up).

My caution to be careful still might apply but not urgently- ask your doctor and PT on this!

I'll be honest- many of us, including me, are never going to get back to scores like yours. In my view, and apparently your doctor's, you have time before you need to worry about meds. Learn all you can and when the time comes, you will be ready! It is likely that bisphosphonates will be prescribed since insurance covers them, or maybe Prolia. My docs avoid Prolia, long story.