This is a great question and discussion. I am wondering the same as you. I did more than five years of alendronate and still fractured so what was the point? I tolerated the drug well but in the end it didn't lead to greatly increased bone density or fracture prevention.

I've had side effects from the anabolics (have tried both) that were so life-impacting that I chose to stop them.

I have an appointment with an endocrinologist at Stanford from their bone clinic this month. My questions are going to be around what the future looks like for me based on this history.

I still have a T-score in the osteopenia range in my spine. My hips are osteoporotic but I've had a few falls and have not broken anything.

I am doing everything I can lifestyle-wise at this point to help.

I think even the experts just don't know.