Why alendronate first. The current thinking seems to be to start with a bone builder like tymlos, forteo or evenity but I am not a doctor and I don't know what your health history is. Do you know your doctor's rational for a bisphosphonate first? I would encourage you to do your own research. Is she/he an endocrinologist? Do you know about your doctor's training in menopause and especially in osteoporosis. Anyway their is a wealth of knowledge and support here.