@hmbrglr I am 73-years-old and my first bone density scan that was done when I was in my mid-40's showed osteopenia. I was stunned as I'd been active with weightlifting, hiking, walking, and cross country skiing for many years. Yet, my mother had osteoporosis and by the age I am now she was very frail and had compression fractures. She was in a lot of pain. I learned that if one's mother has/had osteoporosis then you are at more risk. My bone density was improved when I was in my 60's when I took alendronate for 5 years. But then I needed pelvic radiation therapy for recurrent endometrial cancer in 2021 and that radiation therapy must have weakened my bone density (my radiation oncologist warned me of this possibility) and I had a sacral fracture in 2022. I was referred to an endocrinologist who told me that I was doing everything I possibly could by my lifestyle choices (exercise and diet) but the sacral fracture put me at risk for more fractures. So, reluctantly, I agreed to medication. I did 12 months of Evenity injections and with that my bone density significantly improved. I had a Reclast infusion about 6 weeks after I finished Evenity.

I continue with physical activities but don't feel quite as energetic as I did 10 years ago. I work out with resistance bands and weightlifting, I do balance activities too. I snowshoe and cross-country ski in winter and walk outdoors when the weather is pleasant. Since I'm now retired I take advantage of the hours when I don't have anything scheduled which is usually later in the afternoon. I then relax and read.

What does your doctor say about your bone density score?