Lucian, please read my thread from a week or two ago, "hopefully helpful for premeno. osteopenia." I, too, am diagnosed with osteopenia, am 41, premenopausal, with T scores worse than yours. This worried me too, but after talking with my doctor I now understand that DEXA scans in healthy premenopausal women can indicate results for a postmenopausal woman, as the test is designed for postmenopausal women. You are still in the bone-building stage of life. That is good! My doc said you build bone until age 30, and then level off. She said my lack of bone density, as long as all of my labs turn out normal, is likely simply due to not reaching maximum average bone density for a 30 year old due to poor diet, calcium, etc. etc. over the years. She recommended just concentrating on maintaining bone density that I currently have. You on the other hand still have time to build good bone. It is good that you found this out so early. Concentrate on good diet with a calcium supplement with minerals and vit D, and regular weight-bearing exercises. If your doctor suggests medication to help build the bone, GET A SECOND OPINION! Hope this helps.