I can only speak from my own experience. I am not a medical person. I had no idea that I had Osteoporosis until I had slipped on my ceramic tile in my bathroom. After I had cleaned up, I had sprayed air freshener but it all didn't evaporate and fell to the floor. I fell on my knees and broke my back/Burst Compression Lumbar I Fracture. For six weeks, the pain was so great I truly had wanted to die. The pain was so bad that I could not sleep, cry or move for about three weeks. When I went for my dexa scan there were things that the Spine Surgeon could fix but I could not have surgery until my bones got stronger. I didn't want to take meds either but I dont ever want to break a bone ever again. Taking meds are a risk but breaking a bone that you can't fix due to Osteoporosis is a horrible experience. The meds work differently on every person. I am on Evenity getting ready for the 8th shot. So far, it's been good. Please disuss with your doctor and other medical personel as this condition only gets worse with age.