@lourdita15 My fracture was in the sacrum in the lower back and due to osteoporosis. I was 72 years. old at the time the fracture was identified. It's now healed and I have had no other fractures.

@lourdita15 So much recent research says to start with an anabolic bone-building drug, not first an anti-resorptive for best results. There are many recent YouTube videos with prominent OP doctors and researches about this "sequencing" or "order". Some of those have references to research papers. I have linked just one at the bottom of this post.

See below for Fragility Fracture definition from IOF. If you meet that criteria, (e.g. you did not have a car crash or fall off a ladder) then you can try showing that to your Endo. If your doctor did not call your breaks osteoporosis fractures then the insurance company is not likely to approve an anabolic. Some people have done self-pay in those situations and were able to get reduced prices from the drug company. But you may need a doctor who is on your side.

In your situation I would try to get references like the below in front of my current endo. At the same time I would start the long and challenging process of finding another doctor.

International Osteoporosis Foundation IOF
https://www.osteoporosis.foundation/health-professionals/fragility-fractures
EXCERPT: "Fragility fractures are the clinical outcome of osteoporosis. These fractures arise following an event which would otherwise not be expected to result in a fracture. Fractures occurring in a setting of low-level or low-energy trauma, defined as falling from standing height or less, are usually considered as osteoporotic [1]. However, individuals with osteoporosis compared to healthy individuals, suffer fractures from high-energy trauma at a greater frequency [2]. As such, osteoporosis fracture sites are now more and more characterised by their association with low bone mineral density (BMD) and increasing incidence with age, after the age of 50 years [3]. "

And another on an NIH site:
https://www.ncbi.nlm.nih.gov/books/NBK543829/
EXCERPT: "Fragility fractures occur as a result of “low energy trauma”, often from a fall from standing height or less, that would not normally result in a fracture"

Strategies for Bone Medications with Dr. Benjamin Leder. Dr. Benjamin Leder received his medical degree from Harvard Medical School and completed his Internal Medicine Residency and Endocrine Fellowship at Massachusetts General Hospital, where he has remained ever since. His current position is Professor of Medicine at Harvard Medical School.