Lots of threads under Osteoporosis address your question.

I've improved my bone density with BHRT (hormone therapy) all topical, and supplements.
Not using osteo meds at this time.

Hi, @bfowler,

I combined your discussion with an existing discussion titled:

"Has anyone improved bone density without meds?"
- https://connect.mayoclinic.org/discussion/has-anyone-improved-bone-density-without-meds/

It is a lengthy discussion but has many members who have talked about this topic.

You may find this article helpful as well:

"Osteoporosis treatment: Medications can help"
- https://www.mayoclinic.org/diseases-conditions/osteoporosis/in-depth/osteoporosis-treatment/art-20046869

Don't let the title scare you off, this article from Mayo Clinic talks about supplements, diet and lifestyle changes that play a role in bone health. However, it does come down to an individual diagnosis and how severe one's osteoporosis is. Have you had a chance to have this discussion with your provider to find a solution that incorporates all aspects of the osteoporosis diagnosis?