I found the book "Great Bones" by Keith McCormick to be very informative.

Without getting into a long drawn out story, my last Dexa scan showed a significant deterioration in just 2 yrs. I had failed to tolerate a bisphosphonate so I was open to stepping up to another medication. I saw my elderly mother sustain multiple fractures during the last 10 years of her life including a severe vertebral fracture that caused her to need narcotics. I don't want that for myself.

I made peace with the idea that I have to do what I have to do right now to protect my bones REGARDLESS of a preference to avoid medications. It is what it is, as they say. I'm almost 70. If I were in my 50s with osteopenia, I would be proactive with supplements and maybe HRT. But right now I do not have the luxury of "experimenting" with this or that supplement while my bones are significantly deteriorating. Am I going to wait yet another 2 yrs for the next scan to show me even more deterioration? Perhaps have a fracture in the meantime?

My PCP recommended a rheumatologist rather than an endocrinologist. I'm not really sure which one is "better" for osteoporosis. My rheumatologist did a workup and started me on Evenity. I decided I'm going to trust her. I have peace about my decision, I'm not going to be anxious about this. I'm being given a chance to rebuild my bones while still young and hopefully will not have to live out my 80s-90s with pain and physical dysfunction.

Medications all involve risks vs benefits and it's a personal decision. For me, the benefits of Evenity outweigh the risks.