I had a similar experience. The general doc who called me with the DEXA results simply sent in a prescription for Fosomax (Aledronate). I declined and noted I wanted to see a specialist since I was aware the order you take the drugs in is important, they are all limited on how long you can take them, and I knew I would be in this for the long haul (since diagnosed at 51, I figured I'm looking at 40 years of treatment to help keep me from fracturing!). It delayed me starting on anything for several months, but I felt it was worth it (had I started on the aledronate then gone onto Tymlos it is known to not be as effective post bisphosphonate). My spine and hips were worse than yours at time of initial diagnosis. Hope your appointment in July goes well, it's worth discussing a long term plan with a specialist!