Adherence

Management of osteoporosis should be guided by absolute fracture risk assessment rather than bone mineral density (BMD) alone, utilizing tools like CAROC or FRAX to stratify patients into low, moderate, or high risk categories.

Stop obsessing over your T-score alone. Ask your doctor for a 10-year fracture risk assessment (using tools like FRAX or CAROC). This calculation combines your age, sex, BMD, and lifestyle factors (like smoking or steroid use) to give you a real-world probability of breaking a bone, which determines if you need treatment.