I tried pretty much all the bisphosphonates first and they gave me terrible GERD. I tried Evista but was concerned about the blood clot risks do to family history. I had a compound wrist fracture and that is when I did the forteo. The Reclast was was at the interval they recommended. I refused Prolia at that time and did vitamin d and not much calcium because I have Sarcoidosis. And a lot of walking. My bone densities were good until about 6 months ago. A gas of about 15 years I think.