Plav, I was diagnosed with osteoporosis at around the same age. My T-score was -2.8. I was determined not to take any drug since I've always lead a natural lifestyle and thought that if I just worked a little harder, I could regain what was lost. I decided to give it a full two years to see results. My endocrinologist was not happy about this but I was adamant and so she accepted my plan. I increased my already active exercise regimen to daily hiking, dancing or pilates, strength training 3x a week, I stood all day at my computer instead of sitting, did 400 core reps a day and calculated my nutrition using food first to get all my nutrients, supplementing anything that was short. I took control and did everything I possibly could do. In two years, I went from -2.8 to -3.2. Gaining bone in menopause is rarely physiologically possible but my stubborn nature and my interest in natural healing refused to accept that initially. After my valiant attempt and epic fail, I knew I had to accept that a pharmaceutical was necessary. My doctor insisted on Fosomax but I didn't think that was my best option. I fought for Forteo as all of my loss was in my spine and that is where it builds bone. I had no side effects (and the mental relief it provided was immeasurable). The first year I went from -3.2 to -2.8. The second year, I went from -2.8 to -2.9 so my recommendation is that if you decide to go on Forteo, test your bone markers throughout your course as gains slow the second year and in my case, slightly reversed. After my two years of Forteo, I had to make the next drug decision to maintain the gains. After weighing all options, I decided to go on HRT. At that time, it was not considered an acceptable choice but I was still within the 10 years of menopause and felt like it was the most natural choice I could make. I've now been on HRT for 5 years and I have pretty much maintained. Since you are 58, this might be a reasonable course of action for you, a bone builder first followed by HRT. It's really hard to accept the fact that medication is needed but it seems your osteoporosis is pretty serious as your scores are quite low and you've already had a fracture. I only wish I had gone on Forteo and HRT sooner. Losing bone in menopause is easy, gaining it back is so much harder and really, only accomplished through medication. Had I gone on medication rather than waiting two years, my gains would have put me out of osteoporosis completely. Now that is not possible and I really regret that decision. Wishing you the best of luck in your journey.