“Sometimes strength and bone density are not accurately read.” I can relate. When I was 49 years old (26 years ago), I had a bone density test done. I was told I had osteoporosis of the spine and osteopenia of the hips and the bones of a 90 year old. I walked out of that medical office and never went back. I focused on continuing my life as I always had. I exercised by playing tennis, working out, walking, sometimes running, eating well etc. In the past several years, I have shrunk in height and my shoulder span has decreased. I can see a slight rounding at the top of the spine/neckline. I had 4 grandparents who had osteoporosis looking shapes in some form or other as they aged. In the past year, I have really focused on doing Pilates and barre and walking st least 5 miles a day. I run occasionally and play a competitive game of Pickleball. I hope I can continue to somehow stop the shrinking by continuing to exercise and to eat well. From what I have read so far in these comments, not many people in the medical world know a whole lot about osteoporosis. And that is scary.