Although we are all different I will tell you of my decision and story.
I tried Foxamax and Actonel in the past and each time my back muscles went out and in horrible pain.
These medications are all suppose to help with osteoporosis early on.

Took for Forteo injections and it took my vitamin D down and I went into horrible arm pain until I myself figured out that my Vitamin D was being affected. Forteo was depleting my Vitamin D. Went to several doctors to understand what had happened and all said "Nothing wrong, no findings." It was I that figured it out after research, talking to others, and making a decision to replenish my Vitamin D.

Last year it was suggested that I go on Evenity. My bone density came back a -4.
I have decided not to take it due to possible side effects and then because of what med's you have to take afterwards long term.

For the last two years due to another health problem I began doing light exercises. Since then my tailbone that was painful when sitting on it no longer is painful no matter how I sit.
In the last decade I have taken 3 falls and not broke a bone.

As we have been told all along, exercise, exercise. Maybe if I had listened and done that through the years I would not have had a -4 bone density test...don't know.
For me, too many medications turn out to be causing other problems while they are supposedly fixing another.
We have to take the time to research, think deeply and make a decision for ourselves knowing ourselves better than anyone else and what risks we want to take. Those risks flare up in many things in life and decisions are always having to be made.
Barbara