I am sorry you are going through the big challenge of osteoporosis at your young age, but you have come to a great source to help guide you through this. I am 74 and just found this site a few weeks ago after recent sacral insufficiency fractures were found after MRI and CT scans. Like you, I was initially diagnosed when I was 56, and after a very brief time on Fosamax and then six years on Fortical, opted to stop and focus entirely on diet and exercise. It seemed I was doing everything right, until this recent Bone Scan showed a significant decrease. I learned from this group to ask for a referral to an endocrinologist and that was the best and most successful medical intervention I could have found. She is guiding me through the process, and has looked carefully at all of my blood work, called the radiologist to get the age of the fractures, contacted other specialists about some questionable blood results that my primary care physician said were okay (Serum Protein Electrophoresis) and then changed her suggested course of treatment from Forteo, then Reclast, to only Reclast because of the blood analysis. After spending weeks reading the experiences of women posting on this site, and following up with suggestions, I now feel less anxiety and plan to go ahead with the first Reclast infusion that is being scheduled. It's not an easy path or one size fits all, and there is so much research and work that needs to be done to help find better choices for those of us with this condition. I wish you best of luck and am so glad you have found this source at your young age!