@lynmarie56 Bones usually weaken with age, unless you are doing high impact or weight training. And the truth is, at 70, if you are not already doing weight training you will not be likely able to lift heavy enough to increase your bone density, although you will increase your muscular strength, which is important at any age. You can do research on the relationship between aging and bones weakening - it is widely known. Even if you stay the same (bmd), you are still in the "severe osteoporosis" category. Age is also a huge factor in fracture risk. Someone who is 80 is much more likely to fracture than someone with 70 with the same score. At 8o you are also more likely to be on more other medications and may have acquired other health issues. Having to juggle those new issues with starting an osteoporosis medication will be more challenging. Given you have "severe osteoporosis" you also may have already fractured by age 80. Read up on the recovery of people who have fractured their hip or spine. Everyone is worse off after a fracture, some are in chronic pain for ever. I highly recommend seeing an endocrinologist and have them evaluate you. Do more research; look at the percentages of people who have side effects, and effectiveness of the drugs at preventing fractures, etc... Basically, one of the worse things one can do is sit around and do nothing; it is good that you are reaching out in this forum. Wishing you the best.