My numbers are similar to yours . I am doing Algaecal with out strontium. I also had a REMS Scan done recently and my bone quality it quite good. I won't do bisphosphates but instead I do BHRT. Im on the Wylie protocol. I have a trainer and do resistance training three times a week and also tai chi three times. I walk daily. I have a Marodyne low intensity vibration plate that I use twice daily. My diet is very strict. I also take MK4, Fortibone and a pea protein powder. I have done a four day saliva test along with extensive blood work. I'm trying to cover all the bases. Heel drops every day are part of my routine along with vigorous jumping three times weekly. Meditation is very important.