@snowmass. I had my first bone density scan when I was in my mid-40's and it showed osteopenia. I did not have any symptoms but I knew I was at risk because my mother had osteoporosis.

Osteorarthitis showed up in my lower back and I had a congenital hip problem (I've since had total hip replacement).

I'd never had any symptoms until I had a sacral fracture in late 2022 that was likely due to pelvic radiation for a recurrence of endometrial cancer. Prior to that fracture I've been active with hiking, x-country skiing, aerobics, and weightlifting. My endocrinologist said I did everything I could possibly do until that sacral fracture occurred. At that point with that one fracture I decided to follow my endocrinologist's advice and started on Evenity a year ago. I will get my last injections at the end of this month and in mid-November I'll have a bone density scan.