As I have read many of the comments here and learned a lot, I realized that my doctor knows me best. She has my history in front of her.
She has been urging me to do something about my osteoporosis which started as osteopenia for years before I met her . I am not a "drugs" type of person, so I did all of the natural approaches and held off until I hit the -3.5 in my dexa.
Then I listened and researched!
She halfheartedly recommended Evenity for 12 months followed by a Reclast infusion. When I said yes she was stunned!
After my 4th set of shots which are now (since my last terrible experience--two excruciating shots!) given by RNs, I am doing fine. After my meeting with the PA, who was doing a check up on my progress and wanted to answer my ton of questions, I feel more at peace with my choices. A concern that stood out was why didn't they check my CTX and P1NP. She said that currently they only use those markers with Prolia, Tymlos etc.
She assured me that they have been using Reclast for years and have a very small percentage of patients with long term problems.
Again, I think that it is so important to have a Doctor that knows you and your record (and your temperament!)