HI @malliecallie. We don't know how severe your osteoporosis is or what your insurance will cover. I suggest you read Keith McCormick's book "Great Bones," watch his You Tube videos or those of Dr. Ben Leder ("Combinations and Sequencing."), especially Leder.

Bone builders are suggested first, as Chris mentioned, but insurance companies often require anti-resorptives like either bisphosphonates (Fosamax), or Prolia. This needs to change! Bone builders like Tymlos, Forteo and Evenity (Evenity is both bone builder and anti-resorptive) build a foundation of quality bone. See if your doc will advocate for you. Do you see an endocrinologist?

Anti-resorptives like Prolia can reduce the effectiveness of bone builders later on, if they are needed. But the most important issue with Prolia is that it is hard to get off. It is conceivable that at an older age, we/you can stay on it for the rest of our lives. But most likely you will want to get off, and there is a serious rebound when you stop. Bone density goes down and fracture risk goes up abruptly and you can even lose what you gained unless you transition to Reclast. That transition is tricky too in terms of timing.

Some people have posted on here that Keith McCormick a chiropractor who is an expert on osteoporosis, is suggesting just 3 Prolia's and then transitioning, and the risks might be lower for rebound. I don't know anything about this, myself.

I chose Tymlos and after trying a full dose, talked to my doc and lowered it to 1/4 dose then ramped it up so my body could get used to it. Tymlos comes in a pen with an adjustable dose. Many docs seem to be prescribing Evenity these days. I have done two Evenity treatments (monthly) since finishing Tymlos and will soon transition to Reclast (low dose at first, hydrated, slow infusion, tylenol). I am hoping for a med break at some point.

I have 7 spinal fractures. The first ones are thoracic, from a terrible fall in 2006. The more recent ones are lumbar and from one unwise movement. I will suffer a lot of side effects to avoid the pain and disability of fractures. I was feeling strong at the time: there are no symptoms for osteoporosis. Good luck! Hope this wasn't too much info!