Hello, I have been successful bringing my scores up with natural supplements, HRT, and weightlifting. I started the HRT at 64 after getting a good evaluation from a functional medicine group. My regular MD did not want to start HRT due to my age as well. My numbers were similar to yours. I had a T spine of -3.4 now -2.5 After 1 year. Everyone has a different situation so I encourage you to fully educate yourself on all possible options before starting medication. It still might be the better choice for you but it was not for me. Best of luck!