@kathleen1314 Hi there, I will definitely check this out. Thanks for the info.

@kathleen1314 Thank you for all your research and posts on the Inspire website and here, which I found yesterday and spent a couple hours reading and looking further into. I am very reluctant to start meds as I have a reaction to many things from Sudafed, Melatonin over 1.5mg and other supplements. I get lightheaded either soon after, Sudafed, or the next morning, Melatonin etc. I am 5'2 and 102 lbs and like many, don't feel meds are a one size fits all. Your recent TBS reading gives me hope and the goal is to not fracture so seems like a win to me. I hike, bike, walk, started lifting weights recently, eat 7-8 prunes daily, split into one serving in the morning and one in the afternoon, upped my protein, take calcium, D, K2-mk7 Collagen with Fortibone (Sparkle Wellness) and magnesium. I had a Dexa in November and my L1-L4 "stayed the same" at -3.1 but they said L3-L4 were excluded due to the presence of sclerosis now so it is just using L1-L2 which went from -3.4 to -4.0. The TBS increased though and on that table it shows 1.250 and next to it the t-score of -2.5, down from -2.9, which is still in the yellow zone on the TBS graph. The Endo did not acknowledge that positive increase at my appointment but when I had time to look through the report and email her later, she said yes, that was a moderate increase. When I laid down for the Dexa I asked the technician how she knew if I was positioned the same as last time and her answer was that the software does that. Huh? I did lay down and have my toes/feet pointed outward as I did last year too. I also asked my Endo if she saw the arthritis, which is what she termed the sclerosis, in the last Dexa in a message and she has never responded. I am doubting my Dexa and think I'll travel from N. Vermont to Gloucester MA this spring/summer for a REMS. I may get braces this winter and because of this, my Endo wants to put me on Evista. More to research and read. Thank you all for sharing your journeys, it help a lot!