@sandrajhunt and @mrossi although I posted here that in cases that are mild, drugs might wait (according to my doc and also see "Great Bones" by McCormick), I am a big fan of treating severe osteoporosis with pharmaceutical drugs. I just want to be clear. I have met with Keith McCormick and he suggests drugs for patients and took them himself. It depends on the DEXA, blood tests related to turnover, fracture status, and whether bone quality is okay.

Falls are not the only risks. For those of us with more severe osteoporosis, any unwise movement or even a cough can result in a fracture. I have seven fractures and the pain and disability are far worse, and more lifelong, than side effects from meds, at least for me.

The question is when to do medications and in what order. Insurance policies need to change to make bone builders first line with bisphosphonates or Prolia as follow up meds, rather than the other way around.