Yes after menopause it is an uphill battle!
If you don't want to take Evenity due to cardiovascular risk, you could ask your doc about Forteo or Tymlos. I chose Tymlos instead of Evenity and had excellent results. Tymlos has an adjustable pen, so you can start at a low dose if you like and ramp up so that side effects are eased. You inject it yourself every day. It becomes like brushing your teeth.