Dear Dr. Roach: I am considering a new supplement to help my bones. My recent DEXA scan shows osteopenia with a T-score of 1.1 in my lumbar spine. My hips have a T-score of -1.5, and my FRAX 10-year risk score for hip fracture is 3.4%. The supplement contains plant-based calcium, magnesium, vitamin D3, vitamin K3, boron, selenium, and other trace minerals. Is this a good idea?

— M.C.

Dear M.C.: One authority recommends pharmacologic treatment, such as a bisphosphonate drug, for people with a 10-year risk for hip fracture above 3%, so your doctor should give consideration to this kind of treatment. With or without the treatment of a prescription drug, I do believe that getting adequate calcium and vitamin D is important for bone health. Essentially every study including prescription med

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