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@leeosteo

All, there is an article in American College of Physicians Jan 2023.

Basically it states first line of treatment is bisphosphonates.
https://www.medscape.com/viewarticle/986428#:~:text=New%20Osteoporosis%20Guideline%20Says%20Start%20With%20a%20Bisphosphonate,based%20on%20a%20systematic%20review%20of%20the%20evidence.

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Replies to "All, there is an article in American College of Physicians Jan 2023. Basically it states first..."

Right. So that is what western medicine doctors are being told to do. However, there is a lot of information out now that indicates the possible downsides of bisphosphonates and the order in which medications should be taken for optimal benefit. It's individually based because it has to do with age, family risk, previous fractures, etc...

Here are some helpful links: https://www.nytimes.com/2023/02/01/magazine/menopause-hot-flashes-hormone-therapy.html
https://gbmc.webex.com/recordingservice/sites/gbmc/recording/e6111214853f103bbf7e005056811e38/playback
Also, Keith McCormick's book, The Whole Body Approach to Osteoporosis is very good in explaining how the different medications work and when they should be used based on that.