I am finding it so encouraging and helpful to read the posts from everyone in this forum. Like so many of you, I avoided taking medications when I was diagnosed with Osteopenia in my early 40’s. I changed my diet (dropping sodas, sugar, processed foods, red meat, etc.), added supplements (calcium, Vit D, etc.) and increased my exercise. All that slowed my progression. But after full menopause, and knee replacements at age 60 (which I think was the final catalyst) my scores were finally low enough (Spine -3.0, Total Hip -1.8 and Femoral Neck -2.8) I had to acknowledge it was time to do “more”. I’m in the 4th month with Forteo, and will finish out the two year regime. Then I’ll move onto something else (watching the posts on Prolia and Reclast) to maintain whatever gains I get. This Osteoporosis stuff is hard. Nothing that can be prescribed is perfect, and (as so many keep affirming) our bodies and how they react to meds is very personal. Thank you all for continuing to share. It helps a lot.