@njx58, okay, my apologies. I assumed incorrectly that all networks work the same. In my network, a PCP wouldn't jump right to an injectable as a first line medication. They would start off with an oral medication. My PCP prescribed the oral medication and when I couldn't tolerate it, she referred me to a rheumatologist who gave me options of Forteo or Evenity. I chose Evenity.

I was told by 2 different doctors that HRT isn't recommended as it doesn't rebuild bone just prevent further bone loss. In my case, I need bone rebuilding. I also think it has to do with my age. I'm 13 yrs past menopause.