@sprout I would not comment on your situation without knowing your DEXA scores and whether you have fractured. If your score is lower than -3.0 for instance I would discuss with you the benefits of medications and risk of pain and disability from fractures. If your DEXA is, say, -2.6, that would be a different story. I have recommended The Whole Body Approach to Osteoporosis by McCormick, Lani Simpson MD's Facebook and website, and Margaret Martin's melioguide site for exercises. For some of us, medications are unavoidable to avoid disability and they can be life changing but some do have significant side effects. I addressed side effects of Tymlos by starting with a low dose and moving up slowly. Good luck!