I've had two NTX tests, 3 years apart (2019-2022) and both results are below the range. I saw a Youtube video with Keith McCormick where if NTX scores are low than giving a person an antiresorptive med will create more problems, essentially stopping bone breakdown... and the primary cause might be sluggish osteoblasts. This is what prompted a second opinion with an endocrinologist.

I'm not a fan of Prolia either. The longer your on it the harder it is to get off it safely. I saw a study that you should not be on it longer than 2 years for this reason.

The question in my mind is if I'm holding relatively steady the past 3 years (without meds) does that mean there is another reason for the slow decline? I'm a very picky eater and I've realized my diet needs major adjustment. I eat well, whole foods vs processed. I just don't eat enough protein, calcium, D, K, and magnesium. Could this be a major contributor to my condition along with post menopause? Can I fix this, at least temporarily, with my diet? And delay meds to when I may really need them in 5-10 years from now? (These meds do have limits in terms of risks and number of years you can take them safely) I'm hoping the endocrinologist could shed some light on this.