@wews If the T-score is around -2.5, there's an argument for trying other methods before starting on meds. Dr. McCormick ("Great Bones"), often cited here, is in that camp. Once you get below -3.0, then you're likely going to be better off rebuilding bone density with meds. Someone with a -3.5, for example, can't spend a year trying other methods only to find that things got worse. As Dr. McCormick says, the meds buy you time to get your bone density back to a reasonable level before you determine what to do next.