Here I am at 75 going on 76. Diagnosed osteopenia and then osteoporosis over 20 years ago. Refused medication because of the unacceptable and serious side effects. Decision seconded and evidenced for me by dental offices always asking about use of these medications. Fell or tripped with soft tissue injuries a few times over the years most recently fainted in the shower, “ouch” (no more steamy but enjoyable showers for me, I’m following cardiologist advice). So far not a single broken bone, thank heavens. I take vitamin D 3 in the fall, winter and early spring season and eat healthy, low fat cheese, yogurt, cottage etc. No red meats but chicken, fish, vegetables, nuts, dried fruit and even dessert. Try to stay away from ultra processed foods but processed ok and use organic when available. Think my body after menopause just naturally slowed down on it’s loss of bone integrity. This doesn’t mean to say I don’t have osteoporosis as I lost an inch or two but I don’t think it got worse and hasn’t caused any broken bones so far. Weight and height falls within an average range. Try to keep active. Friend of mine 79 years old very poor Dexta score also same decision, and no broken bones. I think it’s a matter of the risk. Percentage of woman with osteoporosis suffering from broken bone or suffering from medication side effects and the quality of everyday life. Until we get better treatment options decision remains an individual and personal choice. Wish it were different, better medication would be an answer to this dilemma.