I never used Fosomax. My initial DEXA results my spinal T-score average was -3.7 (with lower lumbars being -4) at the age of 51. Since my mom had severe osteoporosis I wanted to avoid it - excersized regularly all my life, took calcium and vitamin D, etc. Genetics are what they are, however, so for me, it seemed not taking medication was not an option. I waited until I met with an osteoporosis specialist before deciding on what to start with. Ended up going with Tymlos to build up my bone density before using a bisphosphonate. I completed my two years on Tymlos and had 16% improvement in my spine (yeah!!!). I am having a Reclast infusion in 3 days to "lock in my gains". Will likely do 2 more infusions (so three years on Reclast), then testing of bone markers for several years after on no drugs with the bone testing noting when it's time for another step (still TBD).