@jimmy05 I believe I did all the right things that I knew of at the time I was first diagnosed with osteopenia including weightlifting, walking/hiking/x-country skiing. After 5 years on alendronate my bone density increased. I suggest that you keep doing what you are doing and also make sure to get as much calcium as you can from your diet instead of supplements. Do you take Vitamin D? That's next to impossible to get from diet, I was told, and because I live in the far north I don't get as much Vitamin D from sunlight. So I take that supplement.

Do you see an endocrinologist or rheumatologist who specializes in osteoporosis? If not, then I recommend this as I learned so much more from endocrinology.

@jimmy05 I was diagnosed with osteopenia at age 53. I was on HRT, taking supplements, eating healthy (increased protein) and exercising including resistance training. It was not enough to stop the progression into osteoporosis in my hips at age 57.

I was started on alendronate then and spent over five years on the medication. It did slow further progression but did not reverse my osteoporosis. At age 62 I had a compression fracture even though my spine was still measuring as osteopenia. I was also continuing with lifestyle measures during that time.

So, I think for some of us there may be a genetic component that does not make it easy. I still live a healthy active life at age 64 but am now on Evenity to address the bone loss.