I have been asking this same question, and grateful for all the replies. Within the past two years my Dexa scan numbers went from Osteopenia to Osteoporosis ranges. I was pro-active and asked for these tests myself - never were they recommended from the PCP. And even with the results, his recommendations are simply to take a supplement of Vitamin D. I went to a Functional Medicine practioner who recommended a high dose of Vit D, and that level came up within a “normal” range within 4 months (I had to ask the PCP for the lab order to retest). I had a discussion with a woman I respect who is now giving herself “shots” (I don’t understand yet) but she says it is her Gynocologist that she leans most heavily on. Since re-locating, I have no specialist and am wallowing in how to find one, and which specialty. I also have osteoarthritis in my hip (already had a replacement on the other side….that surgeon has left his practice and was in New England). Clearly my hip needs replacing, but with the Osteoporosis diagnosis now - I am very concerned. At the moment I’m seeing a Chiropractor who is treating a disc degeneration in my lower spine, but is not able to address the hip issue and knows little about bone density. I’ve been listening to Dr Doug’s podcasts and find them insightful given his attention to the quality of research. He expresses his frustration at the lack of studies made specifically on post-menopausal women 10 years and beyond.