Endo started me on Fosamax at first appointment. The only other drug discussed was Reclast and a once-a-year infusion scared me a lot (no stopping if you have a reaction/side effects) thus I "chose" Fosamax. He mentioned briefly he didn't like Prolia as you are "on it for life". Never heard the term bone builder or anabolic. I did end up on Reclast after 8 months of Fosamax (not good enough gains), I should know April/May if Reclast improved my osteoporosis. Something I learned over the past almost 2 years is that (shockingly!) these drugs may not do much. Prepare for that. Apparently not getting worse is a win. And yes, insurance companies do dictate what drugs the doctors get to prescribe sometimes; and it is more economical to try the older and/or cheaper first. I would like a choice; I would like my doctor to be able to prescribe the best solution out there and then I can decide if I can afford out of pocket for drugs insurance won't cover.