Hi, @lynnhaz, first of all I wish you so much luck on your journey! It sounds so like my own. I've also worked out my entire life but have a very small frame, but have massive dental issues so, like you, I've been pursuing non-drug options. I ended up going to University of Pennsylvania Hospital for a combined DEXA/TBS, with high hopes that all the years of exercise, power walking, and good nutrition would show that my bones were strong, even if not dense. Unfortunately, the TBS confirmed that at least one of my spinal vertebrae was "degraded," and others were just on the border. It was a total gut punch. So now I'm putting on my big girl panties and will talk to my endocrinologist about "least bad" drug options for those of us with major dental issues. I am praying there's something I can live with. All I know is that I've been strong and independent my entire life and I HAVE to keep my bones in shape so I can go on living as I always have. I hope you can find a TBS facility near you. Knowledge is power -- either way. BTW, the cost of the TBS was pretty low, just in case your insurance doesn't cover it. This, from American Bone Health: TBS costs depending on the practice, "are as little as $25 or as much as $150." The TBS devise is attached to DEXA scan. You may need to ask your doctor for a note indicating "medical necessity" so you can have your DEXA/TBS covered if you don't want to wait a full year (or two) from your last scan. Let us know how you do, and GOOD LUCK!!