@gravity3 My DEXA scores are severe.
First diagnosed in 2017, my hips were -2.2, femoral neck -2.4 and spine -3.2.
My last DEXA in 2024 showed hips -2.7, femoral neck -2.7 and spine -04.0.

So my spine is not good and I am very careful with my movements. Since 2017, I've taken calcium and Vitamin D. I've only been taking the other vitamins and Fortibone for about a year and my next DEXA is due this summer. I am sure the doctor will again express his displeasure that I don't want to take meds. The only drug options for me are Evenity and bisphosphonates because of my parathyroid issues.

I am going to start taking Seen Calcium Chews, which are sourced from food. They are expensive, but recommended by Dr Lisa Moore, a DPT who is on Facebook, at "Brick House Bones".

I was found to have Parathyroid issues a couple years ago which is the reason for my bad osteoporosis. I had unsuccessful parathyroid surgery then but the surgeon, who was an endocrine specialist, couldn't find the bad parathyroid. I had a lot of scar tissue in my neck from a prior thyroid surgery. I went to the Mayo in Rochester last year and had three CT's that found the bad parathyroid, but I can't have any more neck surgeries. My PTH and calcium levels are just above the high level so I'm being watched. The only option I have would be an ablation (injection of something to try and kill the adenoma) and that's a 3-day process.