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@mrossi

Hi Tricia,
Thanks for your post. I think I probably wasn't clear enough that I'm very comfortable with my decision not to pursue meds for this. The main reason for that is that I have two books that I've used over the years to guide me in my treatment. One, titled "Exercises for Osteoporosis" by Dianne Daniels, M.A. is a great addition to my workout program (in addition to online classes, feeding and mucking horses, walking 2-3 times an hour/week) and "Mayo Clinic on Osteoporosis," edited by Stephen Hodgson, M.D., in 2003, which states in Chapter 6, p. 81 ". . . keep in mind that having osteoporosis doesn't mean you'll definitely beak a bone. . . And there's no T-score below which you will definitely break a bone." On pp. 82-83: "A bone density test doesn't measure bone quality. Bone quality is how connected and intact the structure of your bones is, not just the amount of material. Bone quality is another factor in how strong your bones are and how resistant they are to breaking. That means your bones may have low density but at the same time be of a high quality that resists breaking." "Some people may have low T-scores but never fracture."
These are things that were never mentioned to me by any doctor treating me for osteoporosis. I have had 6 bad falls in the past 20 years (none associated with balance issues) and no fractures. This is not conclusive of anything, but it is reassuring to me, and what continues to be reassuring is that I am not putting chemicals into my body that are creating other problems, the significance of which - now or in the future - I have no way of knowing.
None of what I am saying is for the purpose of suggesting that my approach is appropriate for anyone else. But I did want to add my two cents for those of us who have decided, for various reasons, to forego drug treatment for osteoporosis.
Take care and good luck with your chosen protocol!

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Replies to "Hi Tricia, Thanks for your post. I think I probably wasn't clear enough that I'm very..."

Thanks, @mrossi. Trust me, I was looking to every book and "reverse osteoporosis without meds" resource I could follow. Sad fact is, I broke two vertebrae in my back from coughing! Was a severe and persistent cough from covid and I tried to get back into my workout but that nagging back pain...who knew it was broken! Anyway, I have to imagine--as you correctly pointed out--that my bone quality is lacking, despite the diet, exercise, and HRT in my regiment for the past 10 years. My mother had osteo (discovered in her 60's after two wrist fractures), and I chalked it up to living a more sedentary lifestyle.
No treatment is wrong, as long as we are exercising, eating right and supplementing with good, key supplements. I was just so spooked by the bone fractures in my back and my daughter is getting married next year so I didn't want to take the chance of not trying everything I can to accelerate and boost the rebuilding of bone cells in my body. I've got a slew of new doctors appointments in my calendar for January, including a very impressive rheumatologist, to ensure that this is the right treatment for me. I've always advocated for my healthcare and sought out top docs, which was easier in NYC.
Wishing you and everyone on this journey the best...and no (more) fractures!
Be well.

Hello @mrossi

Thank you so much for your "two cents," very helpful! I have very low t-scores and have had some bad falls, also not balance issues, and thankfully have not fractured anything. I'm hoping this means I have good "bone quality" despite apparently lacking density, if we are to trust DEXA testing. I've learned not all medical people involved in bone health do. Thanks for the book suggestions too.
I am seeing an endocrinologist in early January. I know meds will be strongly offered...again. Still finding this a difficult decision. Be well and thanks!