I prefer Keith McCormick and the YouTube video by Dr. Ben Leder entitled "Combining and Sequencing Approaches to Osteoporosis."

In my experience, if your scores are severe, your doctor can advocate with insurance for Tymlos, Forteo or Evenity. Radius, the maker of Tymlos, has "Radius Assist," a program that provides free Tymlos (I did this). I believe it is available for those with incomes below three times the federal poverty line. Other companies have financial assistance as well. If you are under 65 there may be coupons as well. Others can tell you about that.

Once you do a bisphosphonate, I have read and been told, those other bone building drugs may not be as effective. It is commonly known that it is better to start with a bone builder and then "lock in gains" with a bisphosphonate.

Doctors like to limit bisphosphonates to 3-5 years. I am doing Reclast after Tymlos (2 years) and Evenity (4 months) and hope to have a drug holiday soon. We may be off and on meds for life but there is a chance we can use more holistic methods once in a healthy range- I don't know but others may have more experience with that.

I have several fractures and come on here to share that they are painful and disabling!

High urinary calcium is a concern raised previously on this forum What does your doctor say? Tymlos can temporarily raise calcium (for a few hours). Other meds may lower it. I hope you have a good endocrinologist to discuss this with!