@lamay I don't know why but my femur neck is always well below the other scores. My report says it is "unreliable to measure changes." I don't know what that means, honestly.

I had osteoporosis for years before doing meds. Unfortunately I fractured but that was due to cancer meds and a delay in meds due to COVID.

I am very pro med (and anti-fracture!) but in a case like yours, it might be good to consult Dr. Keith McCormick, an author and provider (chiropractor) many of us have met with. His first book was "The Whole Body Approach to Osteoporosis" and his most recent, 700 pages long, is "Great Bones.

Two things: once you take Reclast, some studies show less effectiveness of Forteo, Tymlos and Evenity. Unfortunately insurance does not consider this issue of what order you take meds in.

The other thing to think about is time. You probably don't want to do Reclast long term. It is possible that one or two doses will bump you up and with monitoring, you can stop meds (Reclast stays in the system a long time). Just in case, what would your follow up be and how long would you be on that?

Your doc and Dr. McCormick are both great resources to answer these questions about sequence and timing. I did not do meds at your stage but others have and maybe they can chime in.

ps another question is whether Reclast is good with the femur neck. Tymlos was amazing with my spine and pretty good with my hip but my femur neck is still a problem!