judithsmiles, we basically have two types of medications for osteoporosis. The anabolic that assemble complex proteins to build new bone and antiresorptive that prevent the resorption or loss of damaged bone.
All the bisphosphonates Reclast, Fosamax etc and Prolia are antiresorptive. The stop bone from breaking down. The stop damaged bone from breaking down and by collecting this bone, they increase bone density. Which does make your bones less likely to fracture. This bone is more brittle has fewer blood vessels and nerves, creating some risks for atypical femur fracture and osteonecrosis of the jaw.
Evenity is the drug considered both antiresorptive and anabolic. The bone building happens in the first three to six months and after the drug acts more as an antiresorptive.
Forteo and Tymlos are considered the anabolic (my favorites). They replicate the normal function of bone. They encourage the breakdown of fissured and otherwise damaged bone and facilitate the build up of new remodeled bone.
Both Prolia and Evenity add new bone on top of damaged bone.
Some Internal Medicine doctors understand the drugs and you might ask yours to if they would consider prescribing Forteo.
You might also ask if they will order bone markers. Some drugs don't work for some of us. And some of us end up on drugs for years that are not protecting our bones. Bone markers before the medication and after a month or two will show you whether you should keep taking the medication.
Keep posting before you decide so we can warn you about the dreaded side effects.
Best wishes