@lizzabeth in my experience many providers (including dentists) hear "osteoporosis meds" and think only of bisphosphonates (like Reclast) and Prolia, which do, over time, have the potential to make more brittle bones and cause dental issues or atypical femur fractures. These meds are anti-resorptives and, as another poster wrote, address bone turnover.

These issues are apparently more common among cancer patients on high doses and also for people on them for a long time.

Osteoporosis meds that are "anabolic" and actually grow bone, meaning Forteo and Tymlos, do not create brittle bone.

Evenity is a bone builder for the first months and becomes more antiresorptive in the latter months, so has the same risk for brittle bone but much lower risk than bisphosphonates and Prolia.