@blessedsista24 the therapeutic dose of strontium is 680mg. That supplement has 5.5mg. Also in my experience 1000mg Vitamin D isn't always enough.

I fractured three lumbar vertebrae with a spinal DEXA of -3.7 and you have already fractured L2, which increases risk of future fractures.

I just hope you don't end up like me! I have now done Tymlos, which got me up to -2.5 (borderline) in spine, 4 months Evenity and low dose Reclast. At some point I will consider strontium but only at therapeutic doses. And knowing that DEXA will never be accurate (though all my fractures already render it less useful.)

Tymlos and Forteo do not cause jaw problems but do need to be "Locked in" with a bisphosphonate which can cause jaw issues, usually after 3-5 years- so time on those is limited. Prolia is the medication that has rebound so that you may be worse off if you start. The other meds (Forteo. Tymlos and Evenity) can be "locked in" with Reclast or Fosamax and then drug holidays are possible.