Although McCormick also wrote "A Whole Body Approach to Osteoporosis" and has a lot of good information on "whole body approaches'
in his newer book "Great Bones," he generally advocates for medications for more severe osteoporosis and used meds himself.

I wanted to be on meds for years and literally could not tolerate them. I am willing to suffer significant side effects. I finally decided on Tymlos but COVID delayed it. I fractured three lumbar vertebrae in that time (on top o 3-4 thoracic fractures from a traumatic fall in 2006). The pain and disability are awful but I have improved a lot on Tymlos.

Tymlos is good for those who are scared because you can start with a low dose and ramp up. The pen is adjustable. In fact I had excellent gains on a 3/4 dose for most of the time. I have convinced my doc to let me follow up with Evenity- first injection on 12/21- and then I will do a 20% dose of Reclast to "lock in."

Osteoporosis has no symptoms and I felt so strong before my fractures. I was doing martial arts and sword tai chi. It is hard to be motivated to do meds until you fracture but I post on here as someone who DID fracture in order to encourage others to try meds!