@shelldct1 Good morning. To answer your question, I did nothing except be really stupid for ten years. In hindsight, it's amazing my scores weren't worse in 2020 than they were.

I should also add one other data point. By 2020, my t score for my hip was -2.5. After I went on Prolia, it improved noticeably, and by 2024 it was -1.7. It improved even more on Tymlos, and as of last February was -1.5. So while I was on Prolia my spine was stable but didn't improve, but my hip did. That's not nothing. When I took that bad fall, my hip was not injured outside of a bruise; I thank Prolia for that.