Two of the more integrative providers I have communicated with, Lani Simpson and Keith McCormick, have used or are planning to use medications. Menopausal decreases in estrogen are a main cause of osteoporosis. It is reasonable and healthy to avoid medications for osteopenia, and even early osteoporosis. But for more severe DEXA scores or for those who have fractures, medications may prevent pain, disability and even loss of independence. I am posting here for balance, thinking of others who may be reading this thread. There are powerful physical forces behind bone loss and it may require powerful meds to counteract- not forever though. Once density is improved, then it may be possible to use "whole body" approaches. This forum includes people with diverse DEXA results: some who are posting may indeed be wise to try natural first. Others really may find they need meds.