@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.