I don't know your scores but I can tell you that "big pharma drugs" can work very effectively and prevent the pain and disability I have experienced with fractures.
I was unable to tolerate meds- despite many efforts- and finally landed on Tymlos, starting at a low dose and moving up. This was AFTER spinal fractures unfortunately, three of which happened from one unwise movement. I FELT strong (was doing sword tai chi) but I was in danger for years. Tymlos is helping me a lot. Forteo and Evenity are other options.

I am not sure what "natural supplements" you are going to use, but strontium throws off the DEXA scan results by making things look better than they are. In Europe people no longer take strontium ranelate due to cardiovascular risks.

I take calcium, D3 with K, magnesium and B complex including folate. Walking and tai chi. But if your scores are bad, I would strongly suggest considering meds. Don't start with Prolia or biphosphonate if you can do a bone-builder like Tymlos, Forteo or Evenity, all of which better if you haven't taken anything else.