Many meds use relative risk. I am often puzzled because although relative risk shows seemingly minor changes in bone density, many osteoporosis meds do seem to bring significant improvements to DEXA scores.

The risk of femur fracture and jaw necrosis are lower with Evenity than with bisphosphonates or Prolia. I have been told by my doc that most cases of those side effects are for cancer patients with much higher doses. Cardiac risks are for those with preexisting issues, I believe. Check all this out with your doc!