I share your concerns also, but the bottom line is none of us want a fracture anywhere. I am a retired RN and unfortunately have expensive horrible Health Insurance since retiring. I would have gone to see an expert at the Mayo Clinic ( I live in South Florida) but I would have had to pay out of pocket because they are not on my plan( the cost would have been extremely expensive) Everyone has a different journey when it comes to taking medication. I am a rare one that no ( 4 total) medications have ever worked for me. My latest MD has encouraged me to be very careful, take supplements, eat healthy, and continue to do my daily exercises. She did persuade me to take Fosimax because she is worried about a compression fracture in my spine. The best way to make any decision is to Educate yourself as much as possible and to feel comfortable with your decision.

I am also in Florida. I am seeing an osteoporosis "specialist" in Orlando and she is encouraging me to go on osteo meds. Before my bloodwork, and just based on a DXA, she leaned toward Evenity. During the second visit, since my CTX was high, she was leaning towards Prolia. My third visit is in about a month and I am guessing she will continue to suggest Prolia. I am doing whatever I can to avoid prescription drugs because they scare me. (I purchased a Marodyne LiV platform, am eating 6 prunes a day, eating mostly organic and healthy foods, walking daily, strength training 3x/week, avoiding alcohol and limiting caffeine, taking quality supplements and collagen). I am researching bioidential HRT, but I am 16 years post menopause so that may be risky. I plan to ask my osteo doctor about HRT and I am guessing she will say no. I am also in the process of searching for a second opinion since I predict my doctor will disappoint me again during the next visit. I am considering Dr. Bush at Central Carolina Othropedic Associates (who uses Echolight REMS); Mayo Clinic in Jacksonville; a functional medicine doctor locally (if I decide on bioidential HRT).