@lindamaegirl I really like the idea of low-dose statins, 5x a week… hope that works with more meds ! My doc has me on low-dose levothyroxine, but has me split the pills 2x a week— may seek to reduce it more , due to OP. Anyway, it’s important to research all options and consult with a doc who listens, to help sort it out…fractures may affect future decisions…wish you the best…keep us informed !

@lindamaegirl -2.6 is barely osteoporosis. You could probably pay attention to nutrition and the proper weight-bearing exercise to avoid meds. I wouldn't do nothing at all, though, because it can get worse.

@lindamaegirl, yes. It is entirely your decision.
Though it is very difficult to regain lost bone, there are measures you can take to reduce the risk. You can take collagen type 11, quercetin, tea, calcium+k2, make sure your D levels are adequate. Some people take strontium citrate. https://connect.mayoclinic.org/discussion/strontium-1/
You might eliminate the activities that could incur the hard fall that fractured L2 and 4. Do measured careful exercise, avoid lifting, especially lifting and twisting because L1,3 and 5 sustain vulnerability from the year old fractures that alter the balance of the entire spine.
Increasing muscle protects the spine as well as creating crosstalk that increases vertebral strength. But you have to be careful because your muscles can be stronger than your bones. LIfting weights can create peak pressure that your bones cannot sustain.
Some with low bone density never fracture, but many with osteopenia do fracture.
I wish you every luck whichever decision you make.
It is a risk that I wouldn't take, but my fear of fracture is great.
Windyshores had the best results with Tymlos. She cleverly manipulated the pen so she had control over the dosage. Her doctor was (probably still is) Michael Mannstadt 617-726-8720.
I think he still does virtual visits.
If you did decide on a medication, I would rather it would not be Reclast, at least yet. It is better to start with an anabolic like Forteo. I'd recommend Forteo except that windyshores had a negative reaction to it. If you couldn't tolerate Tymlos, like Forteo, it leaves you system rapidly, so your reaction would be limited in time to 24 hours max.

@lindamaegirl
Igor Klibaov’s book Osteoporosis Reversal Secrets available on Amazon is a good place to start looking at how to manage and build without meds - osteoporosis meds are severe and shouldn’t be handed out as lightly as they are by docs now.