Menopause, osteoporosis and sagging skin: how to fight them?

Hi, I’ve been in menopause for about 4 years. I have not taken HRT. I have found osteopenia and also higher bone enzyme and the skin on the face is sagging, especially on the sides of the chin you can see a lot. What could I do? What do you think of polidal ghimas oral supplement? I tell you that I am very afraid of taking drugs having hypertension treated with losaprex, well compensated autoimmune thyroiditis and mild hydronephrosis. What advice can you give me? Thanks, looking forward to your reply, I send you my best regards.