I know how scary this all seems. My T score in my spine is -4.6 it dropped 13 %. I was referred to an endocrinologist and was told right away to start Evenity.
I did all possible labs to see if there was an underlying issue. Nothing all labs came back normal except my CTX was high at 934 which is a bone resorption marker. Still waiting for my N1 NP marker.
Never had a fracture. I have worked out all my life with weights ect. I'm very active I walk & jog. I eat mostly a plant base diet and I'm beginning to think that maybe I do not eat enough protein. 0.8 × your body weight and its best to consume at least 30g per meal and that's being conservative.
I am not even a month in from starting Evenity.
You should start in with taking a bone Anabolic medication. Such as Evenity, Forteo or Tymlos . These build up bone and prevent further breakdown. The other meds are Bisphosphonates which reduce the development of new osteoclast so it stops further breakdown of your bones.
I am a retired RN and have looked into many options we all have to decide what is best for ourselves.