I saw my doctor last week for the first time since hearing my test results. She was a bit disconcerted to hear that I wasn't interested in any medication, but was supportive for now. She said "You are just over the edge (of osteo) and you are young enough that maybe you can turn it around with weight training and supplements" (I'm 48). I told her I was taking Strontium Citrate and various other supplements. She'd never heard of it and said to be careful because some things build brittle bone (like flouride).
She is referring me to the orthopedic surgeon's office that fixed my leg (when I shattered it seven years ago in a bicycling accident), so they can refer me to a physical therapist who will help with knowing which weight training exercises are safe to do. I've been working with a personal trainer for a couple of months now (since before my bone scan) and I have definitely had gains in strength all over, which makes me happy.
She's also sending me for a blood test to check out my vitamin D level, and some other levels of things.
The doctor said that if I don't have improvement over the next two years, she'd like to put me on Evista or Prolia, which are the only two drugs she likes. Here's hoping it doesn't come to that!