Hi olderdiva, I too have complex issues with these advanced medicines for bone density; for now I have one question (though there are many, really): your bone density test annually: do you worry about radiation accumulating in your body?
I have had many radiation based tests, imaging, and am concerned about it.

I appreciate your efforts to support your health journey with supplements but just wanted to mention that the upper limit for calcium supplement intake is 2000 mg. You might want to look at your food intake of calcium to see how that stacks up before adding in all of your supplements. More is not necessarily better and can sometimes be detrimental. Calcium carbonate is not as absorbable as other forms of calcium so consider supplement selections as well. In addition, 50 mg of zinc daily is really quite high. Too much zinc will cause an imbalance in your zinc to copper ratio. Vitamin D levels should be tested to see what your level is and then supplemented accordingly. There have been studies that indicate high levels of D are associated with an increased fall risk. The sweet spot of vitamin D seems to be somewhere in the 40-60 range (though this is in hot debate and there are many differing opinions on optimal levels). Depending upon your test results, if you need to increase your blood level, you can do this be factoring 1,000 IU of supplemental D for each level of 10 you want to increase. So if your level is, let's say, 20 and you want to get to 40, you would take 2000 IU of D a day. Best to test your levels in March which is when your blood level would be at its lowest after winter and that will give you a good gauge as to how you need to supplement. Levels generally increase post-summer with sun exposure.
Supplementing is tricky and can sometimes create unintended imbalances or negative effects if overdone.

I was wondering what the current supplementation regime is. (It was a challenge to find this old post but it is one that stuck in my mind.)