@moxiegirl Keith McCormick used Forteo and Fosamax, himself, and Lani Simpson, in the master class I took with her in 2021, was about to start Tymlos (her book is a bit dated).
With a spinal score or -3.7 I fractured 3 lumbar vertebrae in one moment, with an unwise movement. Unfortunately osteoporosis has no symptoms so this happened without warning. For me, these fractures were painful but also life-altering. Both offer a lot of information on holistic approaches that help many of us, whether on meds or not.
I tried to get on meds for years, then gave up, then tried again, and finally succeeded in doing Tymlos by starting at a low dose (the pen for injections is adjustable). My -3.7 went up to -2.5. If you are nervous about medications, maybe the adjustable dosing would appeal to you. Your score in the spine seems serious but maybe you have FRAX scorer and a good doctor to guide you.
ps I am curious why you have been told eating meat is necessary?!
Thank you for that information! I am only allowed bisphosphonates on my medical plan (Kaiser). Dr. Doug Lucas and other advise that eating a lot of protein is important, and that eating red meat is the best source; they seem to say that dairy (which I love) is problematic for many people although I have no known allergens. My urinary calcium came back high. I don't take calcium supplements, but I do eat a lot of yogurt, leafy greens, etc. I have also added vitamin K, D, probiotic, magnesium and omega 3 supplements; and I also lift weights 3-4x weekly, do Zumba with a fair amount of jumping 2x weekly, and do the stairmaster 3x weekly. However, I think you are right that I may need to reconcile myself to medication - unfortunately Tymlos isn't offered. I have never fractured and I am only 59, so it just seems "early" to me to start down that road; my understanding is that once you start medications you need to be on them for the rest of your life.
Here's the link to Dr. Doug: