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@gently

hi mary1951,
Changes in vertebral weight with fracture may cause further loss of bone in the lower lumbar vertebra.
Vertebral fractures heal in a compressed state (most usually anterior) causing an alteration of pressure on subsequent vertebra.
With osteoporosis we "silently" lose connecting bone in the lacy trabecular network. Dxa tells us we are losing density, but we feel great until we lose enough of those delicate connections and the vertebra collapses. But I understand you are planning anabolic rescue.
I see how my post was vague and welcome your question.

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Replies to "hi mary1951, Changes in vertebral weight with fracture may cause further loss of bone in the..."

I have read (McCormick I think) that once those connections are disrupted, they are not recoverable. So someone like me can increase bone density but not all aspects of bone quality. The connections sort of look like stalagmites and stalagmites once disconnected.