Thank you for your recent post regarding your need for treatment.
Osteoporosis is a condition in which bone is fragile and at increased risk of breaking. Treatments for osteoporosis aim to reduce the risk of such fractures occurring. Assessment of bone density provides useful information in assessing an individual’s risk of breaking a bone and a T score of -2.5 (-2.5 standard deviations below the young adult average) is the point at which osteoporosis is diagnosed. We are aware however that there is more to our risk of breaking a bone than just low bone density and factors such as age, body size, history of broken bones etc are also very significant. The World Health Organisation has produced a tool called FRAX (Fracture Risk Assessment tool) which uses your T score along with these other factors to calculate your risk of breaking a bone in the next 10 years. Your need for treatment at the moment can be also be assessed more accurately using this tool. The FRAX tool can be accessed at http://www.sheffield.ac.uk/FRAX/ Use of this tool will help you and your doctor establish whether you require a treatment now or can afford to wait and adopt the life style changes you suggest.
It is difficult to predict what will happen in the next 12 months, bone loss is an inevitable process and the rate at which this occurs differs throughout life. You do not mention your age, but bone loss tends to accelerate around the time of menopause. If you are guided by your FRAX score as described above, you can be reassured that treatment will only be recommended if your risk of breaking a bone is raised in the next ten years.
Bone density scanning generates quite a precise score but as with many diagnostic techniques there is margin of error. I hope you can appreciate from the information above however that the T score is most useful when used in conjunction with other factors.
I hope you will find this information useful
National Osteoporosis Society