I've always been health conscious and a bit of a nutrition nerd so I just reconfigured my diet to include all the nutrient rich foods that would be helpful. As mentioned in my previous post, the website cronometer.com was helpful in that I could plug in my daily foods and see if I fell short and needed any supplementation. When I was diagnosed with osteoporosis, it was especially shocking because I had always been health conscious and exercised daily. For 2 years, I worked diligently to improve my bones naturally through increased exercise and diet but I ultimately had to go on Forteo and I'm really glad I did. I had no side effects and gained slightly in my spine which is where all of my loss had been. I really struggled to figure out what to go on after Forteo (as you need to immediately move onto the next med or you will lose your gains). After weighing all of my options, I decided to go on HRT. At 63 (at the time), I was at the tail end of the window for taking it. I felt like it was the lesser of all evils. I have been stable since but I am due for a dexa and am concerned that there may be additional loss as the last few years have been particularly stressful and they've taken a physical toll. All that said, I think we have to embrace all options and figure out what's best for us personally using all of the tools available to us; diet, exercise and meds when necessary.