@shmbrd Lots of research shows that doing an anabolic (building) drug like teriparatide (brand name Forteo) before an anti-resorptive like Reclast (zoledronic acid) gives better outcome.

If you can find any way to afford the Forteo first that is the best initial step that I could find in my reading etc. Following that after 2 years with Romosozumab aka Romo aka brand name Evenity is even better, and I have posted elsewhere on this forum with a link to research on that.

Here is a wonderful, albeit technical, presentation from an Osteoporosis leading researcher/doctor:

You can see the graphs & figures larger at this link. The link is also in the "more" info under the video, but I didn't see it until someone else on this forum pointed it out to me.
https://www.dropbox.com/scl/fi/87lfjyrr4vd8qhq29a8k3/LEWIECKI-OK-TO-POST.pptx