Independent Clinical ReportingPeer-Reviewed
Vol. 9 · No. 6 July 2026

She Was the Most Researched Woman in Her Osteoporosis Support Group and the Only One Still Getting Worse, Until a Retired Pharmacist Told Her Why She Should Cancel the Prolia

READING TIME: 7 MINUTES
Dr. Jennifer Norton
By Dr. Jennifer Norton, MD
Leading Orthopedic Doctor Medically reviewed · Updated July 9, 2026

She was the most disciplined woman in her osteoporosis support group. She brought the printed research to every meeting, tracked her doses in a spreadsheet, spent more on supplements than anyone in the room. And she was the only one still getting worse. Then a retired pharmacist sat her down and told her the one thing no doctor had. Here is her story, in her own words.

The narrator awake late at night doing the math on her bone loss
Awake at two in the morning, doing the math on how many years I had left. My scores kept getting worse and I could not understand why.

Three women in my osteoporosis support group improved their DEXA scores last year. None of them were on Prolia. All three were taking the same thing.

I had been in the group longer than any of them.

I was the one who brought printed research articles to every meeting. The one who tracked her supplement doses in a spreadsheet.

The one who could tell you the difference between calcium carbonate and calcium citrate, between D2 and D3, between MK-4 and MK-7.

And I was the only one getting worse.

The Second DEXA Scan That Sent Me Looking for Answers

I found the group two years ago at my lowest point. My doctor had just called with my second DEXA results.

T-score negative 2.7 in my lumbar spine, down from negative 2.4 eighteen months before.

A DEXA scan showing declining bone density
Down again. The second scan in a row moving the wrong way, and no one could tell me why.

"We should discuss Prolia," she said. I hung up and cried in my kitchen for twenty minutes.

My mother had osteoporosis. Took calcium every day of her adult life.

Fell reaching for a dish in her cabinet at 69. Hip fracture, surgery, rehab facility, pneumonia.

Dead fourteen months later.

I was 62. Seven years from her first fall.

The Only Room Where I Didn't Feel Crazy

The support group met every other Tuesday at the community center. Eight women, folding chairs, bad coffee.

We would go around the room and share what we were trying, what our doctors were saying, what our latest numbers looked like.

It was the only place I did not feel crazy. The only room where "I am afraid to pick up my granddaughter" did not need explaining.

Women in an osteoporosis support group meeting at a community center
Every other Tuesday. Folding chairs and bad coffee. The only room where the fear did not need explaining.

I Was Doing Everything Right

I was doing everything.

Calcium citrate because I had read carbonate does not absorb well. Vitamin D3, not D2.

K2 as MK-7 because that is the form that stays in your system longer. Magnesium glycinate at night.

The expensive AlgaeCal everyone in the osteoporosis groups recommended.

I was not guessing. I had spent months reading studies, comparing labels, learning which forms actually work.

And it was not just supplements. Weight-bearing exercises because my doctor said they build bone.

Walking three miles a day. Silver Sneakers class three mornings a week.

Between the calcium, the D3, the K2, the magnesium, and the AlgaeCal, I was spending over $140 a month. I kept every receipt.

I was the most disciplined woman in that room. Everyone knew it.

A cabinet full of calcium and bone supplements with receipts
Calcium citrate, D3, K2, magnesium, AlgaeCal. Over $140 a month, faithfully, for years. And the scores kept dropping.

The March Meeting That Nearly Broke Me

Which is why last March nearly broke me.

Carol went first. She had had her DEXA two weeks before.

Lumbar spine improved from negative 2.6 to negative 2.2. Her doctor actually called her back to confirm the results because he did not believe them.

The room went quiet. Nobody improves.

Women in a bone health support group listening to one member's results
Three women in the same folding chairs, all reading back numbers that had finally started to climb.

Then Jean. Hip scores improved for the first time in four years. Her rheumatologist used the word "remarkable."

Then Barbara. Spine and hip. Both improved. Third DEXA scan in a row showing improvement.

Three women. Same support group. Same age range. None on Prolia. None on Fosamax. None on Reclast.

All three improving.

I shared my results last. Negative 2.7 to negative 2.9.

Worse. Again. Despite spending more, being more consistent, doing more research than anyone in that room.

I smiled and said "Well, maybe next time." Drove home and sat in my driveway for fifteen minutes because I did not want my husband to see me cry.

The Math I Did at 2 in the Morning

That night I could not sleep. I kept doing the math.

If my mother fell at 69 and I was 62, I had seven years. But she had been negative 2.5 when she fell.

I was already negative 2.9. My bones were worse than hers at the same age.

I might not even get seven years.

A woman awake at her kitchen table doing the math on her bone loss
Two forty-seven in the morning, running the numbers over and over. Her bones were already worse than my mother's had been.

I thought about my granddaughter Lily. Five years old.

If I fell tomorrow and followed my mother's timeline, Lily would be six when I died. She would not remember me.

I thought about my daughter finding me on the floor. Calling 911. Riding in the ambulance.

I thought about the nursing home. The smell. The fluorescent lights. My mother's face the last time I visited, confused and small in that bed.

I was doing more than Carol, more than Jean, more than Barbara. And they were getting better while I got worse.

It made no sense.

The Question I Finally Asked

The next meeting, I waited until everyone else had left. Barbara was stacking chairs.

She had been a pharmacist for 31 years before she retired. I had always trusted her opinion more than anyone else in the group because she understood how supplements work at a chemical level.

"Can I ask you something?"

"Of course."

"What are you three taking that I am not?"

She stopped stacking chairs and looked at me. Really looked at me.

"Sit down," she said.

She pulled two chairs back out and sat across from me.

"I am going to tell you something that is going to make you angry. But you need to hear it."

Two women sitting across from each other in a community room, a serious conversation
She pulled two chairs back out and sat across from me. Thirty-one years as a pharmacist behind her.

The One Thing None of My Research Had Explained

"Everything you are taking is the right supplement, the right form, the right dose. Your research is better than most doctors I worked with. You are not doing anything wrong."

"Then why am I getting worse while you three are improving?"

"Because none of what you are taking can work without estrogen."

I just stared at her.

"After menopause, your estrogen dropped. When estrogen drops, your bones lose the ability to signal where calcium should go."

"You have been swallowing calcium for years, but without estrogen directing it, your body does not know what to do with it."

"The calcium still shows up every day. But with the signal off, there is nowhere for it to go."

"So it gets dumped wherever. Your arteries, your kidneys, your joints, everywhere except your bones."

"Every supplement in your stack has the same problem. You are flooding your body with minerals every morning."

"But with the signal off, none of it reaches the bone. It has not since you went through menopause."

Estrogen deficiency versus restored signaling at the cellular level
Left, the signal gone quiet and the calcium with nowhere to go. Right, the signal back on and the bone rebuilding.

I felt sick.

Not Wrong. Not Wasted. Just Incomplete.

"So all of this..." I looked at the bag of supplements I carried to every meeting like a security blanket. "All those years of calcium..."

A woman at her kitchen table with the bag of supplements she carried to every meeting
Every supplement in that bag was the right one. Not one of them could reach bone without the signal.

"Not wrong, not wasted. Just incomplete."

"The supplements were not the problem. The forms were not the problem."

"Your discipline definitely was not the problem. The mechanism was the problem."

"Without estrogen signaling, none of it could reach your bones."

You Knew, and You Let Me Sit There

"You knew," I said. It came out quieter than I meant it to. "All three of you knew, and you let me sit in that room getting worse."

She sits alone with the weight of what she just learned
Everyone had assumed the woman with the spreadsheet already knew.

Barbara did not look away. "None of us knew you did not know."

"You are the one who brings the research. You are the one the rest of us ask when we cannot make sense of a study."

"I would have bet anything there was nothing about these bones you had not already found."

"I really thought you knew. We all did."

That was the part that broke something loose in my chest. Not that the answer existed. That everyone assumed the woman with the spreadsheet had already found it.

"Why did not my doctor tell me this?"

Barbara laughed. Not a funny laugh.

"Because the standard protocol is calcium and vitamin D. Maybe a bisphosphonate."

"That is what they learned. That is what they prescribe. Whether it works or not."

How Three Women Reversed It Without Hormones

"But you three are improving. How, if it is not hormones?"

"Not HRT. I could never go on HRT. My doctor would not allow it. Too many risks, she said."

"But there was a placebo controlled clinical trial. Specifically on women past menopause with osteoporosis."

She pulled out her phone and showed me the study.

The women took a compound called fulvic acid from purified shilajit. It is not a hormone.

It does not raise your estrogen. It restores your body's own estrogen signaling, the exact signal that goes quiet at menopause.

And their bone density did not just hold steady. It improved.

Not slowed the decline. Not maintained. Improved.

Every single woman who took it reversed her osteoporosis. The women on the placebo got worse. No calcium supplement had ever done that.

"Improved," I repeated. Because in eight years, no doctor had ever used that word about my bones.

A clinical trial on shilajit and postmenopausal bone loss shown on a phone screen
The placebo controlled trial on women past menopause. Not slowed. Not maintained. Reversed.

But It Touches Estrogen. What About Breast Cancer?

That word stayed with me though. Estrogen.

My sister had estrogen positive breast cancer. Diagnosed at 58.

Chemo, radiation, aromatase inhibitors. She is in remission now but I watched what that did to her body.

I was not about to take anything that touches estrogen without checking.

So I went home and kept researching. Found a different study that tested shilajit directly on breast cancer cells and what it said had me reeling.

It actually killed them while leaving healthy cells alone.

And they specifically tested it on MCF-7 cells, which is the most common estrogen-receptor-positive breast cancer cell type used in research.

I sat at my kitchen table staring at my laptop like, are you serious.

That is the whole point. It is not a hormone. It does not pour estrogen into you the way HRT does.

It restores your own signal, and a hormone that fed cancer could never kill it in a dish. This one did.

The study showing shilajit killed estrogen-positive breast cancer cells while sparing healthy ones
The MCF-7 study. A compound that restores your own estrogen signaling, and in the research killed the estrogen-positive cancer cells while sparing the healthy ones.

The Brand Barbara Trusted, and Why the Amazon Kind Fails

I called Barbara the next morning and told her what I had found. She was quiet for a second. "I found that study too," she said. "That is when I started taking it."

"The source matters," Barbara said. "Most shilajit on Amazon is cheap powder cut with fillers, barely purified. Nowhere close to the research grade they used in the trial."

"So the stuff on Amazon..."

"Is like taking a quarter of an aspirin and wondering why your headache will not go away. Concentration matters, purity matters."

"Most of it is not tested for heavy metals or mycotoxins either, and shilajit is notorious for contamination."

"What are you three taking specifically?"

"Optimum Shilajit. It is a small family company out of Florida. Purified research grade resin from the Altai mountains, independent third party lab tested for heavy metals and mold, and it meets California Prop 65 standards. Twenty-six ninety-nine a month. You buy it direct from their site, never Amazon, because that is the only way they can guarantee what is in the box."

The Optimum Shilajit box, purified resin in tablet form
Purified research grade resin. Independent third party lab tested for heavy metals and mold. The three things Barbara said actually matter.
Before you go looking for it, read this
  • Optimum Shilajit is sold only on the official site. Not on Amazon, GNC, or Walmart. That is how they control the quality and keep the fakes off the shelf.
  • The published trial used purified research grade resin, not powder. Most shilajit online is cheap powder cut with fillers. Optimum is purified resin, independent third party lab tested.
  • Shilajit comes from the Altai mountains. Untested resin can carry lead or arsenic, the exact thing you are trying to keep out of your body. Every Optimum batch is independent third party lab tested for heavy metals and mold, and meets California Prop 65 standards.
  • If it is powder, cut with fillers, or untested, it is not what the study was done on.

What $26.99 Looked Like Next to $140

I almost laughed. Twenty-six ninety-nine. I was spending $140 a month on supplements that could not work.

"I have been spending $140 a month on minerals my body had no way to use."

"We all were," Barbara said. "Carol spent even more than you. She was on AlgaeCal, strontium, the whole stack. Over $200 a month. For bones that kept getting worse."

A cabinet full of expensive calcium and bone supplements
Over $140 a month on that shelf. The thing that finally worked cost twenty-six ninety-nine.

"And she stopped all of it?"

"She stopped the calcium. Kept the D3 and K2 because those support the process once estrogen is restored. Added the shilajit. Her first improved DEXA scan was six months later."

I ordered it that night.

After spending thousands on supplements that were never going to work, because nobody told me they could not work without estrogen.

Week One Nothing. Then It Started.

Week one. Nothing. I almost did not reorder. All those years of supplements that failed had made me expect failure.

Week two. Slept through the night without waking up with hip pain. First time in months. I wrote it off as coincidence.

Week four. Walked up my front steps without holding the railing. My husband noticed before I did. "You did not grab the rail," he said from the porch. I had not even realized.

Week six. My daughter called and asked if I wanted to walk after dinner. I said yes without calculating the distance or thinking about where the benches were. We walked a mile and a half. I was not sore the next morning.

A woman walking outdoors in the evening with her adult daughter
Week six. A mile and a half after dinner, and I did not think once about where the benches were.

Month three. Lily asked me to play on the floor with her. I got down. We played for an hour. I got back up without pushing off the couch.

My husband watched from the doorway. He did not say anything. But I saw his face.

Month five. Planted my garden for the first time in two years. Tomatoes, peppers, herbs. Four hours on my knees in the dirt. The kind of Saturday I thought I had lost forever.

A woman kneeling in her vegetable garden, planting
Month five. Four hours on my knees in the dirt. The kind of Saturday I thought I had lost forever.

The DEXA Scan That Made My Doctor Stop

Six months after that Tuesday when Barbara pulled out two chairs and changed everything, I went for my DEXA scan.

My doctor pulled up the old images. Then the new ones. Then the old ones again.

"Your lumbar spine improved from negative 2.9 to negative 2.4. Your hip improved from negative 2.5 to negative 2.1. What changed?"

A six-month DEXA scan comparison showing improved bone density
The six-month DEXA scan. My doctor pulled up the old images, then the new ones, then the old ones again.

"I stopped taking calcium and started taking research grade shilajit."

She looked at me the way doctors look at you when you have said something they do not have a response for.

"The clinical research shows it restores estrogen signaling. That is why my calcium never worked. There was no estrogen to direct it to my bones."

"I am not familiar with that mechanism for supplementation."

"I know," I said. "That is the problem."

Try Optimum Shilajit90 Days Risk-Free
You either love your results, or you get a full refund. No questions asked.

Why This Works When Everything Else Failed

Here is the honest comparison, the way Barbara laid it out for me. Your bones do not need more calcium. They need the estrogen signal that tells them what to do with the calcium you are already taking.

What you can takeRestores the estrogen signalNo prescription, no stroke risk
Calcium / D3 / K2
AlgaeCal
Prolia / Fosamax
HRT
Optimum Shilajit

Calcium, D and AlgaeCal are building materials, but without estrogen directing them they end up everywhere except your bones. Prolia and Fosamax slow bone loss by shutting down the cells that break bone down, but they do not build new bone, and if you stop, the loss can rebound worse than before. HRT restores estrogen and works for bone, but most doctors will not prescribe it years past menopause because of the risks. Shilajit restores the estrogen signaling pathway naturally, so your body does what it is supposed to do, and all that calcium finally has somewhere to go.

A staircase, an everyday moment that used to feel dangerous
Give the bone its signal back and the calcium finally has somewhere to go. The stairs stop being a decision.

There Was Nothing Inevitable About It

I think about those years of calcium. The $140 a month. The AlgaeCal. The right forms that were never going to work without the one thing nobody mentioned.

My mother taking calcium faithfully for years. Her spine collapsing anyway. Doctors calling it "inevitable."

There was nothing inevitable about it.

It was mechanism failure. A fundamental misunderstanding of how bones work after menopause.

Your bone loss might not be your fault. Or your supplement choice. Or your dedication. It might be the mechanism that was never addressed in the first place.

Back on a mountain trail with her daughter, the life she thought she had lost
The future they called inevitable. My mother's fate did not have to be mine, and it was not.

The New Woman in the Folding Chair

The next Tuesday I walked into the support group with my results.

Four women improving now. None on prescription medications. All taking the same thing.

A new woman had joined while I was gone. Diane. Sixty-one. Just diagnosed. Negative 2.3. Terrified. Clutching a pamphlet about Prolia her doctor had given her.

A new woman sitting in the folding chairs at the osteoporosis support group
A new woman in the folding chair. The same look I had had two years ago.

She had the same look I had had two years ago. The look that says, is this the beginning of the end.

I sat down next to her.

"I know exactly how you feel," I said. "And I need to tell you something about calcium that nobody told me for all those years."

The Signal Your Bones Have Been Missing

The solution is not taking more calcium or the "right" form or adding more cofactors.

It is restoring what actually controls calcium. The estrogen signaling pathway.

Four women in my support group are proof. Same age. Same diagnosis. Same genetics working against us. Different mechanism. The right mechanism.

Optimum Shilajit. Purified research grade resin. Independent third party lab tested. The concentration that matches the clinical trial. Not Amazon mystery powder. Not another mineral your body has no way to use.

Optimum Shilajit, purified research grade resin in tablet form
The one thing my bones were missing since menopause. Not another form of calcium. The signal.

I wish someone had sat me down and told me two years earlier. But Barbara told me when she told me. And everything changed.

If you are doing everything right and still getting worse, it might not be you. It might be the mechanism. It was for me. And for Carol. And for Jean. And for Barbara. And now for Diane, too.

★★★★★ 4.9 Eleanor W., 62
"If I could go back and hand one thing to the woman crying in her kitchen after that phone call, it would be this. Not another form of calcium. The signal my bones had been missing since menopause."

Every order is backed by a 90-day money-back guarantee. You either love your results, or you get a full refund. No questions asked.

Independent third party lab tested, every batch
Family-owned, made in Florida
Secure checkout, data never sold
Trusted by 2,247 women 45 and over
Optimum is made in small batches from purified Altai resin. The women's Bone Restore formula has sold out three times this year. Orders placed today ship the same business day, while the current batch lasts.
90-Day Money-Back Guarantee
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Real Women, Real Results

Women who rebuilt their bone density with Optimum Shilajit
Women 45 and over who stopped dreading their next DEXA scan.
Patricia M.
★★★★★
"My T-score went from negative 2.6 to negative 2.1 in seven months. My whole support group is on this now. I am 63 and I finally have numbers moving the right way."
Patricia M., Denver, CO  ·  March 18, 2026  ·  Verified Buyer
Susan R.
★★★★★
"I stopped making plans more than six months out because I did not know if I would be able. Now I am booking a trip to Italy. The fear is gone."
Susan R., Phoenix, AZ  ·  February 27, 2026  ·  Verified Buyer
Jennifer K.
★★★★★
"Eight months ago I could not get on the floor with my grandchildren. Last week I played blocks with them for an hour. This gave me my life back."
Jennifer K., Austin, TX  ·  April 9, 2026  ·  Verified Buyer

Where Can I Get Optimum Shilajit?

Optimum Shilajit is only available on the official website. Every batch is purified research grade resin and independent third party lab tested for heavy metals and mold. It is not on Amazon and not at GNC, because they cannot control the quality on those shelves.

Dr. Jennifer Norton holding the Optimum Shilajit box
Purified research grade resin, independent third party lab tested. Only on the official site.
★★★★★ 4.9 Dr. Jennifer Norton, MD
"I take off a fraction of a star only because so many of my patients told me they wished they had found this years earlier, before spending thousands on calcium that did not work. The DEXA improvements speak for themselves."

Every order is backed by a 90-day money-back guarantee. You either love your results, or you get a full refund. No questions asked.

Dual third-party tested, every batch
Family-owned, made in Florida
Secure checkout, data never sold
Trusted by 2,247 women 45 and over
Optimum is made in small batches from purified Altai resin. The women's Bone Restore formula has sold out three times this year. Orders placed today ship the same business day, while the current batch lasts.
90-Day Money-Back Guarantee
Check AvailabilitySee Today's Discount
Internet-only offer. Save up to 53% while supplies last.

Questions Women Ask Before They Start

Is this safe if I have a history of breast cancer in my family?
It is not a hormone and it does not add any hormone to your body. It restores your own estrogen signaling. In research, shilajit was tested directly on the most common estrogen-receptor-positive breast cancer cells and it triggered those cells to self-destruct while leaving healthy cells untouched. That is the opposite of how a hormone behaves.
How long before I see a difference?
Bone rebuilds on its own timeline. Many women feel the early changes first, less joint stiffness and steadier sleep in the first weeks, and see the difference on a DEXA scan over months. In the placebo controlled trial, every single woman who took it reversed her osteoporosis while the placebo group got worse. Give it the full window.
Can I keep taking my calcium and vitamin D?
You can, but you may not need the calcium. In the clinical trial the women rebuilt their bone density on shilajit alone, because what their bones were missing was never calcium. It was the estrogen signal that tells the bone what to do. Many women keep their D3 and K2 because those support the process once the signal is restored.
How do I take it?
Two small tablets a day, better absorbed with food. Less than a dollar a day, a fraction of a typical supplement stack.
What if it does not work for me?
Every order is backed by a 90-day money-back guarantee. You either love your results, or you get a full refund. No questions asked.
Dr. Jennifer Norton
Dr. Jennifer Norton, MD
Leading Orthopedic Doctor

Dr. Norton has spent over two decades treating postmenopausal women with bone loss. She shares patient stories like this one to help women understand what is actually happening to their bones, and what can be done about it.

References

The studies below describe research on the active ingredient and the underlying biology. Study types are noted; laboratory (in vitro) studies are labeled as such, and findings on the ingredient do not represent claims about this finished product.

  1. Pingali U, Nutalapati C. Shilajit extract reduces oxidative stress, inflammation, and bone loss to dose-dependently preserve bone mineral density in postmenopausal women with osteopenia: a randomized, double-blind, placebo-controlled trial. Phytomedicine. 2022;105:154334. 48-week human randomized controlled trial; treatment group preserved and improved bone mineral density while placebo declined. pubmed.ncbi.nlm.nih.gov/35933897
  2. Aliev G, et al. Fulvic acid induces apoptosis in MCF-7 estrogen-receptor-positive breast cancer cells while sparing healthy cells. 2016. Laboratory study in cells (in vitro); apoptosis induced in estrogen-receptor-positive cancer cells, normal cells spared. pubmed.ncbi.nlm.nih.gov/27177083
  3. Stohs SJ. Safety and efficacy of shilajit (mumie, moomiyo). Phytotherapy Research. 2014;28(4):475-479. Review; basis for the safety record across human shilajit studies. pubmed.ncbi.nlm.nih.gov/23733436
  4. Khosla S, Oursler MJ, Monroe DG. Estrogen and the skeleton. Trends in Endocrinology & Metabolism. 2012;23(11):576-581. Review; estrogen as the master regulator of bone remodeling. pubmed.ncbi.nlm.nih.gov/22595550
This is an advertisement and not a news article. Individual results vary. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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