I am actually not at a deciding point yet. I have a great spinal orthopedic doctor that I was actually seeing for kyphosis. My last bone density had osteopenia, and I haven't followed up like my rheumatologist wanted me to to get another one 3 years ago. I saw her after I fractured my pelvis. It was actually after a hip doctor didn't read an MRI until after I had finished my physical therapy which he didn't realize was a pelvic break. He was white when he came in the room. He had had the MRI for 3 months. I should have done swimming, bed rest, and walker. None of those. Just straight to physical therapy. Just a vent. The rheumatologist tried to scare me onto Fosamax. I took it once and quit. That was 3 years ago. Another freak fall. Fractured my L1. My T11 showed up after that and I have no idea how I fractured. I have been doing tons of research before I move on anything. I trust my Spinal doc. His mom is on Prolia after being on Fortea. She has osteo. AT Scripps in San Diego you go over your options with a pharmacist. Pros and cons, lifestyle, supplements. I really am kind of amazed that they are more holistic. They really want the patient making the choice after being informed. I don't think I have a choice. But bums me out is the quality of your bones after 10 years is then shot and you go on something like Fosomax. I even heard a department head of UCSD who specialized just in osteoporosis say that really at this point they really are in an unknown territory. Not enough time to know. And it was 20 years into an SSRI that everyone seems to be on that they found out some awful side effects and no one really is aware of them. One being bone loss! and another is a wicked autoimmune that I now have that has really effected bone loss!. I HATE drugs. But I have to have them for being bipolar. They saved my life literally. At 73 I am only on psych drugs. That's it.