This is exactly my concern! I have mild osteopenia, which I`m determined to do everything that I can to prevent progressing to osteoporosis, and maybe roll back to low osteopenia. So I've been reading about the various drugs for osteoporosis in case I have to decide on one someday.

But the big issue for me is that a DEXA scan gives very limited information. And the old bisphosphonates don't result in new healthy non-brittle bone being deposited. So what test(s) will yield real, valid measures of healthy, replicating bone? Since there's a lot more to the bone story than just thickness. Or, worse, just a picture of it.