For me and my sister, no. We have osteoporosis in our family. My grandmother was in bed for 8 years after breaking a hip, and my dad took care of her. My dad worked out at the gym and he got osteoporosis, broke a few bones, and ended up in bed and me along with a team of CNAs took care of him for 3 years. It cost us $250,000 a year, paid for by my mother who fell down the stairs, broke many bones, and died from her injuries. My youngest sister and I have been very physically active and have eaten well trying to avoid osteoporosis. My sister hikes in the CO mountains and carries her tent and what she needs for camping on her back. She is a petite woman. Our aunt had osteoporosis too. I spoke with Dr McCormick who told me that I HAD to go on osteoporosis drugs if I want to continue to live an active life. My sister is, too. I am doing it for not only myself, but also for my children so they don't have to figure out what to do with me. Everyone is different and has different causes for having osteoporosis.