I wonder how people who are too ill, too old or too unfamilar with modern technology to actively find out what they can do to manage their osteoporosis for themselves do.
Presumably resign themselves to constant bone fractures until they are so disabled that they have to go into a care home.
Perhaps it depends where you live. My osteoporosis has always been well managed. I was given appointments with a specialist nurse after diagnosis to discuss diet and exercise, and given leaflets on both. My drug use was monitored and a holiday advised and I have been called for scans regularly since.
My mother received similar treatment and in her late 80s was given six monthly injections as her drug taking was not reliable. She recovered from a femur fracture through walking and exercising and was operated on for a face fracture. She was still mobile when she had her last fall at 94.