@catdogcarrie Bonita and Fosamax are bisphosphonates and anti-resorptive. Forteo and Tymlos are anabolic and build new bone, via the parathyroid.

Evenity is both- anabolic at first and then more anti-resorptive. It inhibits sclerostin. People with low sclerostin have very thick bones. So researchers got the idea it could help osteoporosis. It was approved in 2019.

Fosamax and Bonita have a risk of atypical femur fracture and jaw necrosis but generally after 3-5 years and I have been told that happens mainly to cancer patients on high doses. But there are always exceptions. The thing is, without meds our risk of fracture is high, if our scores are bad.

I am curious if you are seeing an endocrinologist and if Forteo or Tymlos have ever been discussed. That said, many seem to be getting amazing results from Evenity. I did Tymlos, Evenity and now Reclast!