I think the "epidemic" is partly due to the fact that we all live a lot longer.

In my mother's assisted living facility, I see a lot of women with life-threatening fractures as well as dowager's humps, the curved spine and bent over posture from vertebral fractures. They did not have any meds to take.

There was a period, I think, when docs overmedicated osteopenia, but that may have calmed down.

I think Forteo, Tymlos and Evenity are good meds for those of us with high fracture risk. I have been told I could maybe have one Reclast infusion to lock gains in and then take a break. I am not going near Prolia because you cannot take a break without something else to follow (and my doc feels the same).