I am not a doc but have been studying osteoporosis and treatments for it since I was diagnosed. Bisphosphonates (Fosomax, etc.), like all powerful drugs, do have risks attached. The only way to see it they are right for you is to ask your doctor and look up reliable information for yourself. We all have to look after our own health these days! The only thing I can say is that Boniva and Forteo helped me get back to osteopenia from severe osteoporosis. Exercise, vitamin D, calcium, are all good and part of the picture, but sometimes medicine is called for and in my case, I am glad that it was there for me. Best of luck and wishing you health and bone health!