New diagnosis at 56 yo. Looking for advice on non drug therapies.

Yeah. Unfortunately some of us don't realize that until we have a painful fracture. Osteoporosis doesn't hurt so you think you're doing great exercising and eating right and taking supplements. I ended up fracturing and with a -5.4 TScore. You don't recover from a -5.4 score. Ever. I've been on drugs for 4 years and no more fractures but still at a lumbar score of -4.2.

Dr Lucas is a shyster. He's not even a medical doctor. He's a chiropractor. Making money online mixing fact with fiction. Try to find an endocrinologist specializing in Osteoporosis.

Dr. Doug Lucas is a board-certified orthopedic surgeon who completed his medical training at Stanford University. He is not a chiropractor. Perhaps you are thinking of someone else?

No comment on whether his approach is valuable. I have watched some of his videos and learned a few things. Personally, I see an endocrinologist at a metabolic bone diseases clinic.

I have osteopenia. I've been using 0.05 for about 9 mos. Before that, I used 0.025 and 0.0375 for 3 months each. My next DEXA won't be until June 2026.
"might theoretically help with that but there wasn't really evidence of that being the case."

This is what AI Perplexity said. I didn't ask to bring up the studies but you could ask.
Multiple studies have demonstrated that higher doses of transdermal estradiol patches lead to greater increases in bone mineral density (BMD) in postmenopausal women.

A key randomized controlled trial compared four doses of transdermal estradiol (0.025, 0.05, 0.06, and 0.1 mg/day) over 24 months. The 0.05 mg/day patch increased lumbar spine BMD by 4.09% and total hip BMD by 2.85%, while the 0.025 mg/day patch increased lumbar spine BMD by 2.37% and hip BMD by 0.26%. The highest dose (0.1 mg/day) yielded the greatest increases (4.70% at the spine, 2.03% at the hip). All active doses performed significantly better than placebo, and the increase in BMD was directly related to the estradiol dosage.

Additional reviews and studies confirm that transdermal estradiol at doses from 0.025 to 0.1 mg/day is effective in preventing postmenopausal bone loss, with higher doses generally providing greater BMD benefits.

One study noted that 0.05 mg/day was effective in preventing bone loss, but the lowest dose (0.025 mg/day) was less effective at avoiding bone demineralization.

In summary, the 0.05 mg estradiol patch is effective for increasing BMD, and higher doses (such as 0.1 mg) provide even greater increases. The relationship between dose and BMD improvement is well-supported by clinical evidence.

My Reply/comment was for Beeko, sorry I didn't make that clear.

Good for you. I have a friend that has had several fractures and she is in her sixties. The verdict is she was on osteo drugs too long.

Dig into Dr. Lauren Fishman studies. I do his 12 yoga poses three days and Wellen three days. Am on super honest supplements. (that is an issue)

I am 78 and will have my next DEXA this fall. Will be interested in results, but the exercises are for more: balance, strength, flexibility.

Approximately four years ago, I was diagnosed and promptly began a regimen of bone health supplements. I also incorporated the use of a Marodyne plate and made a consistent effort to increase my daily calcium intake. Despite these interventions, my bone density scores have shown a steady decline each year. In response, I have intensified my weightlifting routine and now exercise every other day. I am scheduled for a follow-up DEXA scan in approximately nine months and have also identified a facility where I can obtain a REM scan.
I chose not to start care with Dr. Lucas, as his management approach to osteoporosis appeared primarily profit-driven. I was particularly concerned when his initial estimate increased from $9,000 to $14,000 without clear justification, and he was unable to provide convincing evidence or guarantees regarding the effectiveness of his proposed interventions. Additionally, I found some inconsistencies across his multiple educational videos, which led me to discontinue following his content.

Recently, I found a new local physician with extensive experience in osteoporosis management. I have scheduled my first appointment for next week and will provide an update following my consultation.
My advice is not to take any of the medications until you understand the source of your bone loss. I hope you find this helpful.

I am taking GENERIC actevella pills. The patch was way to expensive.

I watch The Dr Doug Show, Bones, Hormones and Health Span. He’s an Orthopedic Surgeon who gives lots of research on Bone health. He did recommend Algae Cal supplement as one of the better ones. He also gives tons of advice on bone health and osteoporosis. His videos are on You Tube.

@demendell
If you do not have cancer, you can research about progesterone cream or better, Yam cream and its effects on osteoporosis by Dr John Lee.
He's deceased but his books on menopause discuss his use in his practice.