I commented on another post somewhere, but this is to bunky44. I, too, have a DEXA score far worse than I have seen on any thread--even than yours! Mine is overall -5.1 and I am 72 years old. I had a hysterectomy at 35 and believe that is where this all started. I took estrogen for 10 years, but it caused chronic breast pain, so I stopped. It was a few years after that I was diagnosed with osteoporosis, but it didn't happen in those short years, so must have started while I was still taking estrogen. I've read that the greatest decrease in bone density happens within five years of menopause, so if that is true, even with surgical menopause, then by the time I was 40 I was entering the danger zone. A fall in 2021 prompted a bone density scan (which I had not had in years), and it was -4.5, so I joined Osteostrong and continued for the next 18 months. After a year my density was -4.7, but I continued because I believe that age and the level of bone density play a role in how long for improvement. I recently consulted with an osteoporosis expert in Massachusetts (flew there from Texas) and he advised me to not participate in Silver Sneakers senior exercise program or Osteostrong, because of the fragility of my bones. I didn't know it, but before my fall I had had several fractures (they can be silent). I did not want to take medication and have not until now. Tomorrow I pick up a prescription for Tymlos. The doctor told me I had no choice because of the severity and the bone loss needed to be halted right away. Have made so many lifestyle, diet, supplement changes, but the density still went down, so it's time to try this other approach. After the fall I saw a spine surgeon who told me his worst patients were 75-year-old women in terrible pain because their bones had dissolved and there was nothing he could for them. I'll continue the nutritional approach along with the Tymlos.