@hello1234

My numbers were lower than yours. And finding a well trained or even a modestly trained physician in the field of Osteoporosis would have been difficult. It has changed so much but has a long way to go.
Do you have an experienced and well trained physician to help guide you? There are a number of people here and elsewhere have had consults with
Dr. Keith McCormick a chiropractor with osteoporosis who was an athlete as well. He wrote a book called great bones.
If it were me, I would make sure that the prescribing physician was monitoring the medication using bone marker blood work. This would give a way to track the effectiveness of the med without having to wait one or even two years for a dexa scan.
Perhaps someone here has had a situation similar to yours and can comment on their choice and what they have experienced.
Also, check out Dr. mary Claire havers and OsteoBoston on you tube. Melioguide.come can provide info on movement/exercise for osteoporosis patients.
https://melioguide.com/medications/bisphosphonates-osteoporosis-guidelines/
Do your own research too....much to learn using the search engine here