If you decide on starting meds, a question I might ask my (endocrinologist?) is......why not a bone builder first? I'd want to know the prescribing physician's rationale.
It is my understanding that sequencing these drugs is very important and that a bisphosphonate before may blunt the positive effects of a bone builder (tymlos, forteo and evenity).

It is difficult to know how much of a role the supplements played in my slight bmd increase from -3 to 2.6 spine over a 10-month period. I suspect that the bhrt I started about 6 months after the supplements has had the largest impact. Had I not taken the bhrt, I could confirm whether or not these supplements with high protein diet helped. Keith McCormick refers to his patients CTX came down with supplements, diet and exercise alone they're OP was not too severe. I am confident that the bhrt was the main reason for my CTX bone turnover rate reduction from 688 to 138 over 8 month period. It is true that these supplements are expensive, but I reduced the dosages by half after reading Keith McCormick's suggested dosages which greatly reduced my costs. I also order from iherb whose prices are the lowest I've found for good quality. I am small like you at 5'1 and a half, 125 lbs. My REMS Echolight shows my bone quality still quite good as well and I am waiting to have TBS. I don't wish to take medication either and have so far not fractured. It would seem to me that bone quality and stopping further progression is most important. My progression of bmd loss appears to have stopped with a slight gain even. I am hoping to maintain this over the long term sounds like cheap monitoring with bmd scans and bone marker tests.