@bevlevvancouverbc @windyshores Thank you both for this discussion. While all three of us have been diagnosed with osteoporosis your back-and-forth posts have brought many variables and points to consider.

A little about me. My mother had osteoporosis so I was at risk. You can change your own life style but you can't change your genetics, right? However, my mother had more life style risk factors than I did and there were fewer options in the mid-1980's when she was diagnosed. She fractured a shoulder and later her hip both from falls and became very frail during the last years of her life. And she was in a lot of pain. She died at age 75 and I'm currently 72 years old. I miss her every day and tell myself I do not wish to live with the frailty that she did. I know this is what she wants for me.

I've been active for much of my life and began weightlifting more out of interest and fun than health reasons when I was in my mid-30's. I hiked, cross-country skied, walked, climbed up and down stairs in my home and at my workplace when my office was on the third floor (no elevator as it was a converted Victorian home on a university campus). With all that I was diagnosed with osteopenia in my mid-40s. As my t-scores moved to the osteoporosis range I agreed to 5 years of Fosomax. I didn't have any fractures until 2022/2023 when a CT scan administered for cancer surveillance showed a sacral fracture that was likely due to the effects of pelvic radiation therapy I'd had the year before.

So here I am. My endocrinologist told me I've been doing everything possible to manage the osteoporosis however the fracture changed the equation and he recommended medication. I've had 10/12 injections of Evenity for "bone building". The plan is to then move to a bisphosphonate such as Reclast to maintain bone density. I see the endocrinologist in November and following a bone density scan we shall see what he recommends.

I continue to be active with walking, hiking, and weightlifting. I take a calcium citrate supplement on days when I haven't ingested enough calcium through food sources - again the recommendation of my endocrinologist. I take Vitamin D3 every morning as I know one cannot get this through food sources.

Yes, we are living longer, aren't we? And with this longevity comes physical health problems that we are experiencing.

I think high blood pressure is a symptom. And the disease/disorder is called hypertension.