I've been on calcium and vitamin D for years as well as Fosomax and Reclast. I am in my 60"s and not sure I even want to bother with anything else since I still have Osteopenia. I am pretty active and hopefully that will help. This has been going on since after I had my hysterectomy at 49. I am also thin and small boned, perfect combination for Osteoperosis. My Mom had it also and never broke a bone until she was in her 90's and then it was her wrist from a fall.