@jspr422. Since you lift at the gym, and have had no fractures, I'd say what and how much you lift is something still to explore. I had osteoporosis and am now in the osteopenia range. My greatest loss was in lumbar spine but I've gained considerable bone density back through medication (12 months of Evenity followed by Reclast infusion) and continuing with weightlifting. I've been lifting weights at the gym and focusing on axial lifts since the 1990s which was before I had the osteoporosis diagnosis. I now work with a personal trainer. I lift about 80 pounds with Zercher lifts and Romanian Dead Lifts as well as other lifting. I do abdominal crunches and do twisting motions with weights under the guidance of my trainer. I'm very careful about lifting anything outside the gym and make sure that I squat and do not bend.

You already work with a trainer. Does the trainer have a background or graduate degree in exercise physiology and so can advise you on this?