@swuelfing1 My endocrinologist advised me to walk for a minimum of 60 minutes a day, get a minimum of 1200mg from food sources and take supplements of calcium (no more than 400 at one time and only with food such as during a meal) only when I do not meet that 1200 mg from food. I have been lifting weights for almost 30 years and continue to do that. I do take D3 (1000 units per day) which he agreed with. I am in the osteoporosis range and as I wrote earlier I had a sacral fracture from radiation therapy.

I do have genetic risk as my mother had severe osteoporosis. Estrogen or estradiol is not an option for me as my cancer (endometrial cancer) was estrogen positive.

What kind of exercise do you do? Do you like weightlifting? There are good weightlifting routines for osteoporosis. Fortunately, one of my favorites is the dead lift and that’s a good one for osteoporosis.

I would say to keep up on the bone density scans and discuss the osteopenia with your doctor during that annual physicals. Going “natural” for osteopenia sounds like a good plan.

I did reverse osteopenia without drugs. It takes concentrated effort and attention though. But that was years ago and I have gotten slack in my efforts.
Now I have osteoporosis. I am
working with a functional medicine doctor to manage it without medicine ( I’ve had 3 doctors tell me not to take the drugs, one of them being a orthopedic surgeon). I have a list of amounts of vitamins and minerals to get daily, as many as possible from diet.
What ever route you take, please take K2 in the form of MK7. It’s what keeps calcium from going to your arteries, put simplistically.