Hi, I was diagnosed with mild osteoporosis in my spine in my mid-60s. My PCP prescribed Boniva which is similar to Fosamax. I couldn't tolerate it due to GI issues. I stopped it and relied only on a calcium/Vit D/mineral supplement for a year. My next Dexa scan showed a significant deterioration. At that point my PCP recommended a rheumatologist who tested me for various possible causes of the osteoporosis (for example, celiac disease can be a factor). She started me on Evenity because it was at the "severe" point. She said she wouldn't choose this drug for mild osteoporosis.

I feel I made a mistake not being more proactive when I was first diagnosed and seeing a specialist right away. Waiting a year was a mistake because in the meantime I got significantly worse. As I understand it, supplements and HRT do not rebuild bone but only maintain what's there. My friend has mild osteoporosis in her hip and has been able to stay stable with calcium foods and supplements (that is, she's not worsening).