UPDATE TO MY POST: Met with my endocrinologist last week and my treatment options appear to be limited:
Dr does not recommend Forteo or Tymlos because my blood calcium levels are on the high end of normal and these drugs usually raise blood calcium levels.

He mentioned Evenity but didn't recommend it because it's a newer drug and I'd have to drive to his office, one hour away, once a month for injections.

He still recommends Reclast, which I'm very reluctant to take for two reasons. I have fibromyalgia with daily pain, often severe, so I don't want to take anything that will cause more pain. I’ve read 55% of Reclast users experience bone pain and 25-30% have muscle pain. Also, I don’t want to take something I can't stop if I have bad side effects. We talked about a 3mg dose, I can't remember if that was to test how I react to it or if I could continue getting the low doses, but more often.

Then there is Fosamax, which Dr said may have a lower risk of aggravating symptoms and indicate if I would be more likely to tolerate Reclast. I had some esophagus issues a couple years ago which cleared up but are still being watched. I’d want to check with my Gastro Dr before taking it. Since that issue arose two years ago, I've been taking a PPI, which I think may have contributed to my worsening DEXA numbers. I'm trying wean off the PPI and transition to famotidine. I’m also concerned about dental issues as I have a lot of crowns and in the last two years, had two root canals and needed one tooth pulled due to a cracked root.

I welcome any comments or suggestions.