I went to the Mayo a year ago and they confirmed my severe osteoporosis (-4 in spine). I can't take Forteo or Tymlos due to parathyroid issues. The Dr recommended Fosamax, but I declined after reading the side effects, and reading studies that showed there wasn't much benefit as far as fracture reduction. I am 75 and have known of my severe osteoporosis for 8 years and have not fractured. The Dr disagreed with my decision to go drug-free but said it was my decision to make. Since my diagnosis, I take calcium with Vitamin K, Vitamin D and AlgaeCal collagen with Fortibone.