I was diagnosed with osteoporosis in 2000 (I was 50). I opted to try lifestyle and diet changes; I was totally against medication. My T-score continued to get worse, but I felt fine, so decided to continue on until I had the first fracture. Ha! After slipping on the ice in Feb 2021 and fracturing T-10 I visited a spine doctor who told me I already had fractures! What? I had no idea. He said they could be silent and painless. I started on the Calton regimen from their book 'Rebuild Your Bones'. Excellent info about nutrients, food that hampers bone-building, etc. I changed my diet radically, cutting out healthy foods that are fine for someone else, but not me. I am also careful not to BLT--bend, lift or twist. I found Dr. McCormick on a podcast and was so impressed by how knowledgeable he was, having had osteoporosis himself. I had been trying to figure it out myself and decided to fly to Massachusetts (from Texas) for a consultation. The first thing he said to me was that I had no choice but to go on medication (since my osteoporosis was so advanced). He ordered many blood tests, which my local doctor was willing to order. Dr. M. interprets them and makes recommendations. He recommended Tymlos since it builds the most bone (I had tried Forteo in the early 2000's, but did not gain the bone he thought I should have). He makes recommendations according to an individual's situation. The blood tests show important biomakers, telling him much about the person's status. It is wonderful to have a truly knowledgable person walking with me through this. I had no confidence in your typical doctor to really know what to do. I am reading his book, 'The Whole Body Approach to Osteoporosis' for the second time. My next bone density test is in December, so I'll know where I am now. For those who cannot go to MA, Dr. McCormick does phone consultations after receiving the results from the tests he recommends. Since seeing him in August 2022 I have talked to him three times by phone with questions that have come up. I use supplements from Calton Nutrition and Dr. McCormick--Osteonaturals. The two books I mentioned are essential, in my opinion. I wish you well, Kristie.