I've refused the osteoporosis medications for 20 years, ever since I was "diagnosed" with osteopenia on my first DEXA. My second DEXA showed stability in the T-scores, but the endocrinologist STILL pushed the meds. Be apprised that virtually all endocrinologists will push meds--you could consult with 100 and find no difference among them. And they'll insist that serious side effects are "extremely rare"--a claim that the thousands of anecdotal patient reports to the contrary, on support sites such as this, call into question. My own belief, from reading over the last two decades and following patients' firsthand reports, is that this "disease" is being overhyped and that meds to "treat" it are being prescribed indiscriminately, to the detriment of many. I don't think I can post a link in this forum, but one article you may find of interest can be found on the website of npr.org--it's entitled "How a bone disease grew to fit the prescription." It details the arbitrariness behind the DEXA system, which is currently used as the sole determinant of who falls within the "needs treatment" category. As for the "1 out of 2 women will get a fracture" statistic: also be aware that there's a recent trend for doctors to designate virtually ALL fractures, including those that were unquestionably considered traumatic--e.g., slip-and-fall wrist fractures sustained on ice--as "fragility fractures," thus enabling the expansion of women who "need treatment." The "1 out of 2" does not mean those fractures were all major, e.g, hip fractures, and it's dishonest if those who cite that statistic are implying otherwise.