@michaellavacot Thank you, that's really helpful. I hadn't really considered that the goal might be not only slowing further bone loss but also rebuilding some of the bone already lost. Part of my hesitation is wanting to make the best long-term decision rather than rushing into a treatment pathway without understanding the likely benefits and trade-offs. Can I ask whether HRT and anabolic treatment were offered because of your T-scores, fracture history, or some other risk factor? I'm still trying to understand where someone like me (57, one femoral neck at -2.8, the rest in the osteopenia range, no fractures, low FRAX) fits on the treatment spectrum.