@gently
In my case the osteoporosis is due the abnormal growth in parathyroid gland producing fluctuating and high levels of pth harmone....my doctor advised me to wait and watch for any growth...since the nodule is too small...i have to get yearly ultrasound neck to see for growth....if it grows...then i have to under parathyroidectomy (of the affected gland) or i can go for radiofrequency ablation which will shrink or eliminate the gland affected...........for now i am on alderonic acid(osteofos), vitamin d supplements...my last dexa scan taken 2 month ago had shown some minor improvemnets.....

Condition like mine might have gone unnoticed since my calcium levels were always normal....after comparing a series of pth levels test of 3 months and ultrasound and sestamibi scan, the diagnosis came out to be NORMOCALCEMIC HYPERPARATHYROIDISM......most of the time there is wrong diagnosis im this case and doctors precribe HTR injections which causes more bone loss