I was diagnosed with osteoporosis at age 42 (1993) after breast cancer treatments. I took Evista for 25 years - I really didn't see any improvement. My dexa scans only got worse. They know so much more now than they did about osteoporosis and treatments. I am 75 now - I do a Bone Density class at the gym. We lift weights, do cardio and balance exercises. I walk 3 - 5 miles a day. My last dexa scan showed a 30% improvement. I now only have osteopenia. Drugs are fine if they are helping you - but I have found that I needed to be proactive and also do something!