@sheilad1 can you tell us your DEXA scores at each stage and also whether you are post-menopausal?

Your story is pretty unusual so details would be appreciated. As an above poster said, bone loss is physiologically "natural" after a certain age.

I did not take meds for years (14 to be exact) after my first diagnosis and also did 5 years of hormonal cancer meds that caused more bone loss. I wanted to take meds and tried several, even tried an immunologist to get on Forteo. My doc did not want to prescribe Reclast or Prolia due to other health conditions. I also met with Dr. Keith McCormick whose book on "Whole Body Approach to Osteoporosis" is well-regarded. I eat well, walk and do tai chi and take the usual supplements.

I ended up with 7 spinal fractures. Noone wants that pain and disability so I hope people will consider meds when needed. Thank heavens for Tymlos, which has an adjustable dose so I could start low and ramp up. It's been 16 months. This past week I walked 10 miles two days in a row. Before Tymlos, I was in bed.

My doc will cautiously follow up with a partial dose of Reclast (1/4) to see if I can handle it. He says I can lock in gains and take breaks from med. At that point I will go back to Dr. McCormick.