Yes, yearly DEXA can show statistically significant increases in BMD.

Did your dr. do baseline BTM (bone turnover marker) tests prior to your starting treatment?

Here’s a link to some very helpful info on BTMs. https://s3.amazonaws.com/Food4HealthyBonesPDFs/FFHB+Blood+Test-Bone+Markers.pdf

Also, my most recent DEXA, December 2022, t-scores were
lumbar spine -3.6
right femoral neck -2.9
total right femur -2.8
left femoral neck -3.1
total left femur -3.0

I chose not to have another zoledronic acid infusion because I question my endocrinologist and his advice, and the 1 infusion I had did not show statistically significant improvements in my BMD, and I’m, 54, and as I told my doctors back when I was originally diagnosed at age 50, I would prefer to try to improve my BMD on my own.

Note, I joined a gym over a year ago and go 3 times a week and have been slowly increasing weights and I am considering trying HRT to help my bones.

I have hypothyroidism and that might be why the zoledronic acid did not make much of a difference, and my endocrinologist should have known/considered that before prescribing bisphosphonates.