Here's a quick overview from Harvard Health on the different drugs currently used to treat osteoporosis. The side
effects and risks vary widely so this is just a survey of what's currently on offer. I've read studies looking at which alleles on which genes seem to be most prognostic of osteoporosis so hope that genetic testing might also offer some guidance in the near future.
https://www.health.harvard.edu/womens-health/osteoporosis-drugs-which-one-is-right-for-you