Thanks for the advice. I was thinking similarly. I thought my numbers merited more attention to ameliorating the loss of bone than curbing it enough to allow bones to rebuild (by the likes of Fosamax). Prolia worked wonders on my 80+ year old mother-in-law. [I believe the box claimed it is not for men, but I've seen articles that contradict that.]

I've read that a key factor in proper regulating Ca in blood and bone is the conversion of sex hormones to estradiol. I believe that the advanced drugs you mention targets that mechanism. An expert might be able to address this. I am waiting on a consult with an endocrinologist specializing in osteoporosis. At this point, I don't know if my other bones bear comparable degradation of BMD--not included in the scan.

I should stress that I am absolutely symptom-free (if my anxiety regarding my numbers is ignored). None of the usual factors predisposing one to osteoporosis are present. Normal blood, normal Testosterone levels, no GERD, steroid, hormone-ablation medications, no fractures or balance problems, except I am undeniably small-boned for a man. This hardly seems sufficient to explain my conditions. Loss of estrogen can't explain it!