Hi mumsa48!! I have gastroparesis, Crohn`s, SIBO and osteoporosis. I had seven spontaneous vertebral fractures that required surgery. In 2020 they implanted a SCS (spinal cord stimulator). This helped with the pain, but is not totally gone. I was on many oral medications for osteoporosis : Prolia, Fosamax and Boniva before I started Reclast infusion once/ year. I also tried Forteo . Finally my endocrinologist recommended Evenity injections every month for one year. After the treatment with Evenity there was an improvement and my doctor took me off of all the medications for one year, except oral calcium ( I use calcium citrate gummies). I had a bone density scan in November 2024, the osteoporosis is worse now. I think in our case, osteoporosis is hard to treat because we deal with malabsorption and nutrients deficiencies. I exercise regularly and try to eat food rich in calcium that I can tolerate. I am lactose intolerant and have gluten sensitivity. You can always talk with your doctor to find the best treatment for you. Good luck!