How severe is your Osteoporosis?

Raloxifene was the most recent Osteo med I took before the side effects became intolerable.
When you first start, the hot flashes are really bad. After a few months that stops. But for me intense nausea followed. Also very lightheaded.
It held me stable according to my dexa.
After that my doctor decided I should take Evenity. I laughed out loud at that suggestion.
I decided to try HRT, like I said earlier, I don’t believe this will grow a lot of bone. But stable and no more more fractures would be a win.
I suggested an anabolic because that would allow you to grow bone, improve your scores. Yes you have to follow it with something to hold the gains. I’ve heard anecdotally on another site that people have held the gains by using strontium citrate. However, that supplement skews the dexa by about 10%.
Have you researched Strontium?

I had a second thought on this @tiny28
Do you have an Echolight REMS test available near you? From what I’ve read this is a much better predictor of fracture than Dexa. Seems it also looks at bone quality, not just density. Perhaps you will get a better idea of the seriousness of your bone loss and be better equipped to make decision on meds.

I am 67 with severe osteoporosis. I did Forteo to build bone and then Raloxifene to maintain the gains.
No side effects at all with Raloxifene . Forteo initially had some headaches and tummy upset, but just took it at night and that worked. I am also very med sensitive, so happy this worked and I have had no further fractures for the past 8 years. If you need to build bone, I would research Forteo.