My numbers are similar to yours and I’m not worrying about it unless I start to get fractures easily. I broke one bone my entire life and I’m 65! I do pretty intense strength training (trainer led with 6 women - most aged 40ish) and I started Osteostrong (heavy load). Once a week. Many women who go there (some traveling 2 hours to get there) have seen big improvements. I also take Algacal. I’ll retake my Dexascan (same place) in 2 years and see what happens. My OB/Gyn really put my mind at ease. The Osteoporosis doctor appt scared me like crazy and immediately suggested drugs. That’s ridiculous. IMO. That said, if a break a bone - just stepping off a curb - I’ll adjust my plan. Maybe.