Like many conditions, I think feasibility of natural reversal through diet/lifestyle all depends upon genetics. I would have LOVED to reverse this without medication. I already was doing weight training and weight bearing cardio 6-7 days a week for decades. I'm the poster child for healthy eating with great calcium, vita d and other bloodwork numbers. Docs tell me I'm healthier than majority of their patients 1/3 my age. Yet I still have severe osteoporosis. 🙁

I wish everyone here luck in reversing w/o meds. But if your numbers are already bad, I feel like bone building meds may give one a better fighting chance and fresh start to battle this, vs starting from a low point?

If someone is already proactively doing all they can naturally & DXA scores aren't getting worse - but also aren't improving a lot either - waiting too long has other risks.

As one doc explained: if you do - heaven forbid - break a bone and that bone is strong, surgeons have something good to work with, pins set better, healing is better. If bones are weak/soft/thin, surgeons have a much harder time and healing may not be good.