I have been clumsy all my life, tripping and falling down a lot. Now that I have osteoporosis, i’m worried about breaking a bone when I fall. What can I do to improve my poor balance?

Many things. Make sure your osteoporosis is adequately treated. Make sure your calcium and vitamin d level is normal. Supplement if necessary. Remove house hazards that can make you fall: maintain adequate lighting around the house, remove clutters that can make you trip around the house, remove movable carpets/rugs. Install fall guards and handles in bathroom/bathtubs.