I had approximately the same scores at almost the same age, which was the first time I had a DEXA scan so I don't know for how long they had been that low. I decided not to start medications; it was agreed that only Forteo would help, and it was new. I had never had a fracture and at age 73 still haven't. My scores stayed about the same for a little more than 10 years, but then I started taking medications that might have further impaired my bone density. My scores are now -3.3 and -3.7 for my hip, -5.1 for my wrist, and 4.9 for my lumbar spine. However, I am using Tymlos now because I need a hip replacement and that can be complicated with brittle, weak bones. My experience may not apply at all to you, and I have not had a serious fall, which could have changed everything. Your mileage may vary, but I don't think that you are doomed. Good luck.