My lumbar T-scores improved on alendronate. I was barely osteoporotic in 2018 then returned to the osteopenia range after two years, along with weight training, HRT, and supplements (calcium, Vitamin D). My hips never improved but did not deteriorate further, remaining between -2.8 and -3.0.

However, I still experienced a decompression fracture at T8 about a year ago when I placed a tremendous load on my spine by flexing it to place my head under the tap of a large bathtub to rinse my hair. I recall pushing down very hard on my rib cage in order to force my head to reach. I had no idea what happened at the time and went 3 months before seeing my doctor.

I am on an anabolic now (Tymlos, now moving to Forteo) so we'll see if I can improve my bone density.