I have a similar story. Also a retired RN. Always exercised and ate healthy but last year had -3.0s in spine and hip. I also just fractured a wrist from a traumatic fall while hiking 1 month after that DXA while trying to decide what to do. Needless to say after several consults with 2 different endos (one being an integrative practitioner) and 2 Internal Medicine docs (one being spouse) I started and just finished 12 months of Evenity. I also had a history of a previous serious wrist needing surgery as well as 2 different rib fractures from a biking fall and another fall while hiking with a full backpack. I argued that they weren’t fragility fractures but more traumatic but I lost. They all said I was in the severe osteo range and needed to do more. My healthy exercising lifestyle wasn’t enough. My Mom had osteo. It’s a disease! Not just a lifestyle! I am 67 now and 5’5 and 130 ish. I’ve been fortunate to have no side effects from Evenity except a little tired and headache the next day or 2. I am supplementing calcium, vitamin D, K and magnesium. My diet excellent and I’ve added L. reuteri yogurt that I learned to make. I continue to exercise every day with walking, stomping, heel dropping, weights, yoga and aqua aerobics. And I usually get 3-5 prunes a day. My DXA is scheduled for Friday and then a few appts to see what is next. I got
my endo to order blood work including a CTX I did not have one baseline because he wouldn’t order it possibly because of
my wrist fracture and surgery. I read all these posts every morning to learn from all and will let
you what the recommendations are. I wish I didn't have to do anything more but I don't think that will be the case. I feel like I know windyshores ( thank you, I so fear prolia) and many others on this forum. Thank you all for sharing your journeys, questions, fears and successes.