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I trust my own doctor who I have been with for many many years. But he is a GP altho a GP in a tiny village about 10 miles from my village which is only 1450 population, I know he has many elderly patients as I have seen them in his waiting room! His initial recommendation to me to start was Reclast!
I left a message with the UW doctor saying I could not take Fosomax due to a throat condition I have which was diagnosed years ago which found my esophagus in dreadful shape & led to my going on a diet of only 50% of my usual intake of coffee, chocolate, fruit juice, alcohol,, anythng tomatoey & something else I can't remember. It hasn't been too bad altho decreasing coffee by 50% has not been fun. Anyway, no way could I take Fosomax & I would tell them to check with the Sauk Prairie Hospital if they insisted.
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@guinivere I am really really glad you have a primary care doctor you have seen for a long time, and who you trust. There may be age or health factors influencing doctors' recommendations for you that we don't know about. I hope you can find an endocrinologist you trust, and maybe that will happen if you have a conversation with the current endocrinologist at UW.
Many of us would say that our doctors recommended bone builders with scores worse than, say, -3.2, but bisphosphonates (or Prolia) may be best in some situations.,
I cannot take Fosamax because of GERD and that is a good reason for a doctor to withdraw that suggestion.
Let us know what happens!