@bethiemae do you have an endocrinologist? Resources like my doctor, "Great Bones" by Keith McCormick and Dr. Ben Leder's "Combinations and Sequencing Approaches to Osteoporosis" recommend starting with a bone builder like Tymlos, Forteo or Evenity before doing a bisphosphonate like Fosamax or Reclast.

But insurance likes the cheaper bisphosphonates and PCP's often prescribe them as "front line." If your DEXA scores are worse than, say -3.0 perhaps a bone builder would be better to start. Ask your doctor and an endocriinologist might be helpful if you don't already have one.

If your scores are okay then either natural approaches, Reclast - or both might help. Make sure to hydrate and you can ask for a slower infusion!