I think it depends on the reason for your osteoporosis. All my life I lifted weights, I was an aerobic instructor, had horses, had a dog walking business, contradanced, and am very active. My parents and grandparents had osteoporosis so I did what I thought I should do to strengthen my bones. Natural approaches did not work for me. I got a hold of Dr McCormick and he thinks the problem is my gut health which we are working on now. My Dr said I didn't have to be on medication for osteoporosis. Dr McCormick said that I absolutely need to be on meds. My Endochronologist agrees with him. So, I am soon going to try evenity along with everything else I do. Good luck to you.