I too was uncertain about any of the drugs for osteoporosis. I’m 76 and spent my life working on health. I haven’t broken or fractured any bones but after DEX scan my Doctor put the fear of falling and breaking. I tried Prolia for 6 months but decided side effects were not worth the risk. Studied and decided on Tymlos. My endocrinologist said she’s gotten the best results. I stared at 8 clicks. Bad decision. Went to 4 then 6. I’m at 6 now. Take at bed time. It’s doable to get “ride my bike bones”. I also researched an estrogen patch called Menostar. Made to prevent osteoporosis. Persons taking Tymlos and estrogen are getting great results. Build bone and estrogen stabilizes growth. I don’t have breast cancer in my family. Further persons who stay on low dose estrogen don’t need reclast. This is in the beginning stages of trial but I think with monitoring I’m going for it.