Hi Debblem, I don't know what has caused my osteoporosis. At the onset of the disease, my former primary doctor suggested Prolia. Because of allergic reactions to most drugs like Boniva, I didn't take the infusion. Unfortunately, he did not recommend any further treatment or a specialist. His only suggestion was "not to fall!" Of course, the lack of care prompted me to change doctors and that is how I found out I had advanced osteoporosis. thank you for recommending to check my trabecular bone score. Also, someone also mentioned Osteo Strong as a supplement. While not knowing enough about your pending neck surgery, have you investigated a chiropractor that practices "functional" medicine? Two years ago, I was told that I had severe degenerative disc disease in my neck and that surgery was not an option. If I did have surgery, one would not be enough and, eventually, the multiple surgeries would paralyze my neck. Stunned at the diagnosis and in dire pain, I went to a lecture and that is where I found my chiropractor. While his method of healing was not covered by insurance, I was desperate. It took about 6 months before I became a new person. I now going every 2-3 weeks for maintenance and have no neck pain. Unfortunately, about a year following my neck diagnosis, I received the news about the osteoporosis. I hope the info on my neck gives you another option to investigate.