I understand your fear of both taking meds that may cause side effects or facing the risk of possibly fracturing. Once receiving a diagnosis of osteoporosis, we all struggle with making these important decisions. Your story sounds somewhat similar to mine in that I did all the "right things"; exercised daily, lifted weights, stellar diet and I still lost bone. My density rapidly declined during menopause yet I was still determined to do it naturally and felt that if I just did more, I could gain it back. It was a big mistake as after diligently trying for 2 years to build back bone, my spine density decreased even further. I then knew I had to graciously accept that I needed medication and felt that the best option for me was Forteo as that could directly build back my spine. I too have some autoimmune issues and was afraid of the side effects of all of the medications but I handled Forteo just fine without any problems at all. I did gain back some of my spine but not enough to pull me out of osteoporosis. Had I gone on it immediately, my situation would be completely different. Once your bone is gone, it is very hard to gain it back. Even the meds can do just so much. Having gone through this experience, I would encourage you to try a medication and see how your body handles it. If you do have side effects, you can always try something else. Best to do it all, meds, diet and exercise, for the greatest possibility of building or at least, stabilizing your bones. Wishing you best of luck and health.