I had a T-score of -5.1 on my spine last year as a baseline before starting Tymlos injections. Will soon have results from one year on Tymlos. I consulted with Dr. Keith McCormick (osteonaturals.com) and he convinced me medication was essential. I had been diagnosed with osteoporosis at age 50 and opted not to take medication. 20 years later I fell and several compression fractures were discovered. I had been fracturing and didn't know it; they can be silent and painless. I am confident that Dr. McCormick has me on the right path to strengthen my bones. It is also helpful to work on your nutrition. Dr. McCormick's book "The Whole Body Approach to Osteoporosis" is excellent; everyone with this condition should read it. And although we flew to Massachusetts from Texas for a consultation, he does phone consultations after you get lab tests, bone density results, etc. and send them to him. They are not video calls, like Zoom, but phone consultations.