@mary1007 I was referred to endocrinology after a fracture in my lower back (sacrum) occurred. The endocrinologist ordered a bone density scan and I was in the osteoporosis range. He said that I was doing everything possible for bone density with my exercise (weight lifting, walking) and diet. I was already taking Vitamin D3 2000IU/day and had calcium citrate when needed. He said that it was the sacral fracture that was now the major risk factor as I was now at risk for more fractures. His recommendation was to start meds (12 mos of Evenity to build bone density and then Reclast to lock in gains). In fact, I made significant gains in bone density in both hip and lower spine with 12 mos of Evenity and have had the Reclast infusion with no acute side effects. I take calcium citrate with meals and no more than 400mg at a time if I don't get enough calcium that day.

So I would say it all depends on your bone density loss and if you've had any fractures. My endocrinologist would not have prescibed meds had I not had the sacral fracture.

Have you had a bone density scan indicating osteoporosis? What would you like to do next?