@lulub98 Fosamax and Reclast are both bisphosphonates.

The medications for osteoporosis are either anti-resorptives (which decrease turnover) or anabolics (which grow new bone). Fosamax and Reclast are anti-resorptives. Tymlos and Forteo anabolics. Evenity is both and very potent for growing bone.

Do you have an endocrinologist? Many primary care doctors will start with Fosamax because insurance wants us to do that (or Prolia) first. But these will interfere with the effectiveness of bone builders if needed later.

If your ostoporosis is not severe, you could consider holistic approaches, or Fosamax may even be helpful depending on scores. The problem is, you really can only take it for 3-5 years so what then?

Many of us start with a bone builder in order to have a quality foundation of new growth, and then "lock in" gains with Reclast or Fosamax.

Again, not sure what your situation is, and just sharing my own experience which was Tymlos, Evenity briefly, and soon, Reclast.