Any suggestions as to what I can do with my "retired" 4yr old?

Hi marblelou :)
I'm very sorry to hear this news :(
Please speak to your vet indepth about the implications of keeping your horse alive.
Always remember, 60% of the horse's bodyweight is supported by the front legs.
The sesamoid bones play a very large part in the support mechanism of the fetlock joint, in conjunction with the tendons and ligaments surrounding, and attached to them. All of the major tendons and ligaments in the horses lower leg anatomy will have an effect on his brittle, crumbly sesamoid bone.
Osteoporisis is a progressive, degenerative condition which causes the bones to become very brittle and crumbly.
The action alone of tendons and ligaments passing over, under, around and being attached to diseased bone which is very fragile is more than enough of a justifiable reason to do the kindest thing now to end your horse's suffering.

I don't know personally how much pain is involved with osteoporisis, but I DO have arthritis (cartilage completely eroded away giving direct contact, bone to bone, within the affected joints). The pain is excruciating and I can't live without painkillers. I really wish euthanasia was legal for humans, but I don't have that option.
Please take your vets advice in this case.

Spend some time with your horse, pampering and spoiling him for a few days, and saying goodbye. If you can't be there yourself when the time comes, have someone he knows and trusts there to be with him.
And here's a huge virtual hug in support from me. x.
I lost a 5yo and her newborn foal last year to a sudden illness. Those last 18 hours I spent with her, right to the moment she took her last breath, were very precious and will stay with me forever.
 
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