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@rogerscott8562

Thanks for the education. I did not realize osteoclasts have a positive function. I need to talk with my doctor about my options. I first need find out my tolerance fore alendronate. I start tomorrow when I can access my doctor in case I have a bad reaction. I might go back to resistance machines. I have been off them for two years.
Here are my numbers. Let me know how bad they are:
BONE DENSITOMETRY (DEXA)

CLINICAL: Screening for osteoporosis. History of prior
fractures. History of long term steroid medication use for
treatment of asthma.

PROCEDURE: Bone densitometry, Standard.

BONE DENSITY:
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Region BMD T-score Z-score Classification
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AP Spine(L3, L4) 0.743 -3.5 -2.3 Osteoporosis
Femoral Neck (Left) 0.533 -2.9 -1.4 Osteoporosis
Total Hip (Left) 0.638 -2.6 -1.5 Osteoporosis
Femoral Neck (Right) 0.461 -3.4 -1.9 Osteoporosis
Total Hip (Right) 0.565 -3.1 -2.0 Osteoporosis
-----------------------------------------------------------------

10-year Fracture Risk:
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FRAX not reported because:
Some T-score for Spine Total or Hip Total or Femoral Neck at
or below -2.5
-----------------------------------------------------------------

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Replies to "Thanks for the education. I did not realize osteoclasts have a positive function. I need to..."

Roger, if you take alendronate before taking a drug that builds bone the effect of the anabolic drug will not be as effective.
It's L3, L4 that would be most concerning to me. Spinal fractures are the most frightening because that kind of fracture can't heal in its original configuration. The vertebral body loses height even with kyphoplasty --a procedure that attempts to restore the loss. The change in height alters the pressures and balance of your entire spine. Not to speak of the pain.
I wonder that your provider isn't suggesting a stronger osteoporosis medication.
Leg press resistance training is associated with increased vertebral pressures with prevalant injuries to the lower spine.
One trouble with osteoporosis is that your muscles can be strong enough for the weight, but the bones may not be.
You may have secured the decision to take alendronate and I wish you the best results. If you have second thoughts about taking a stronger medication, message your doctor. S/he'd be surprised and might recognize the wisdom.