Linn was diagnosed with osteoporosis and had been monitored with regular DEXA scans. She is naturally very lightweight, which increases fracture risk, and her bone density scores had previously shown cause for concern.
Context
Around the time of menopause, Linn had stopped weight-bearing exercise. Like many women, she struggled with menopausal symptoms and was wary of hormone replacement therapy (HRT) because of concerns about long-term risks — particularly breast cancer — and limited guidance available at the time.
The Decision
Rather than moving straight to bisphosphonate medication, Linn and her doctor agreed on a staged, considered approach.
The plan was to first gain the potential bone-protective benefits of HRT, combined with appropriate weight-bearing and resistance exercise, and then reassess bone density over time. Bisphosphonate treatment would remain an option if her scores failed to improve.
This approach gave Linn time, choice, and a clear review point rather than an immediate, irreversible commitment.
The Plan
Over the following four years, Linn focused on:
- HRT, taken with a clear understanding of both benefits and risks
- Regular weight-bearing and strengthening exercise
- Practical loading strategies suited to her body weight, including use of a weighted waistcoat or backpack while walking
- Vitamin D3 with K2, and a cautious, monitored approach to calcium supplementation
Progress was supported by regular blood tests and review, ensuring supplementation remained appropriate and safe.
Where She Is Now
At her most recent DEXA scan in March 2025, Linn’s results showed a significant improvement compared to her previous scan.
Her consultant was surprised by the improvement in her hip scores, and Linn does not need to start bisphosphonate treatment at this stage.
She remains active, confident in loading her body appropriately, and reassured that medication remains an option in the future if and when it is needed.
“If my scores hadn’t improved, I was ready to take bisphosphonates. But I’m pleased we tried to gain the benefits from HRT and exercise first. I wish I’d understood earlier how important weight-bearing exercise and hormonal health are at menopause.”
Linn’s story does not suggest that osteoporosis can always be reversed, or that medication should be avoided.
It shows what can happen when women are given time, good information, and regular review — allowing decisions to be made in stages, based on evidence rather than fear.