For reference, I fractured my T8 vertebrae with a T-score in the osteopenia range. In Feb 2023 it was -1.6 then I had a fracture in December 2023. In June 2024 I had another DEXA before starting anabolic therapy and it was -2.2. After Tymlos, teraparatide and a year of Evenity I am back to -1.5.

My fracture was caused by an ill advised movement: I bent over the edge of a bathtub and pressed down very hard on my rib cage trying to get my head under the faucet to rinse it. It was a bad combo of flexion plus pressure. I am much more careful now.

My point is that your T-score does mean a higher risk of fracture so pay attention to how you move.