My PCP orders bone markers for me though I recently added a second endocrinologist for that purpose because my main doc doesn't use them. McCormick does not manage my osteoporosis but I have seen him for years. I like to collect viewpoints!

If you are starting out, and your bone loss is severe enough to warrant meds, I think your first step is to see an endocrinologist. Maybe get on a waiting list (we recently discussed calling at 10am when cancellations tend to have happened!).

McCormick sees people in person or by phone. It used to be $300 for the first consultation and $85 for the 15 minutes by phone but it has gone up.

You can buy his book "Great Bones." You can also watch videos on YouTube with McCormick. My other favorite is Dr. Ben Leder "Combinations and Sequencing Approaches to Osteoporosis." Others will have suggestions too.

Take your time and learn, ask questions, and things will be clearer. There are only a few options: bisphosphonates or Prolia as antiresorptives, Forteo and Tymlos as bone builders and Evenity as both. It is good to start with Evenity, Tymlos or Forteo and then "lock in" gains with a bisphosphonate. Good luck!