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@mlwh

Yes, I have stopped my bone loss and made very gradual improvement over last 5 years. I am 71. I have made many lifestyle changes to include technically sound, gradually applied weight lifting 3x a week, walking on non-lifting days, improved diet which I track online with MyFitnessPal app, reduced stress, and attention to quality sleep. I have one drug intervention, which I did briefly two years ago, and recently restarted, which is transvaginal estradiol. I have posted a chart of my results in a couple threads, and will go see if I can add it to my profile, where it might be more easily found. My doctor was of almost no use when I refused meds, so you need to become an educated advocate, or find help that appreciates your goals and means to achieve them. The references mentioned here have been useful to me, and I think Lani Simpson's book "No Nonsense Bone Health Guide" is a good easy read as a starting point. I find that my improved strength and fitness are very protective, given I am now agile enough to avoid falling. Good luck to you.

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Replies to "Yes, I have stopped my bone loss and made very gradual improvement over last 5 years...."

@mlwh
It is great to read about someone who has been able to use exercise and other natural approaches to deal with bone loss. Keep us posted.

Just want to say that Lani Simpson's book is more than 10 years old and quite dated, since both Tymlos and Evenity did not exist in 2014. I attended a master class with Dr. Simpson and she was about to go on Tymlos herself, and there was discussion of following Tymlos with Evenity.

For those with osteopenia or mild osteoporosis, there may be hope to manage bone loss. But for those of us with DEXA's below, say, -3.0, it is probably wise to consider meds. My personal experience of fractures has been painful and life-altering.

Unfortunately transvaginal estradiol does nothing for bone health, just met with my gynecologist. She will prescribe HRT if I demand it but is against it as 25% of her patients over 60 have had significant side effects like stroke, heart issues and one had something to do with the eyes. My Endo knows nothing about HRT for bone health and cannot prescribe it.