Dr. Harold Rosen gave a informational session & posted this slide. Seems that -2.5 is a delineating DXA level. If you haven't tried the other recommendations, you could decide to do that. I was -2.6 and had been lifting weights, getting Calcium, Vit D but still continued to drop to -2.9 so went on fosamax about 6 years ago. Now am -1.9 & "on holiday"(off fosamax) until next Dexa.