My TBS scores are good and my dexa normal.
I was diagnosed with osteoporosis years ago but am not longer in the osteoporosis territory.

I use strontium citrate and BHRT plus all the usual exercise and good health interventions of calcium etc.
You might consider strontium citrate.
Strontium research:
https://www.inspire.com/groups/bone-health-and-osteoporosis/discussion/dd823b-strontium-a-compilation-of-research-and-information/