Jennifer...Thank you for the other posts, very informational. I mentioned briefly that I live in an area where there is a sortage of doctors . I mentioned HRT yesterday with my physician and he is against it...what he suggested is Prolia . I briefly did some research on Prolia and none of the information was reassuring except that it does replace some bone lost. My Dexa scan back in 2019 was still ostopina as per the T score. I will continue with my plans to look at more information. I go for an MRI of the lower back now as I had the upper done previously. If I considered going to see a physician for a second opinion I would have to go to San Francisco which is about 3-4 hours from where I live. Thank you again for your input.