The issue according to Keith McCormick's book "Great Bones," my doc, and a great video on Sequencing and Combinations by Dr. Ben Leder- is that bisphosphonates should really be used to "lockin" gains AFTER a bone builder like Forteo, Tymlos or Evenity. And bisphosphonates or Prolia used first may interfere with later effectiveness of bone builders. Also, you can only be on Fosamax so long, so what do you do afterwards. Ask your doc when you can stop (3 years?) and what you do afterwards.

Insurance companies are determining sequencing because the bone builders cost more.

If your bones are not severe, check into McCormick's book "The Whole Body Approach to Osteoporosis," Lani Simpson MD, and melioguide for exercises.

I am very pro med but I had osteoporosis for 14 years before I did meds. Fosamax was offered in 2001! My GERD could not tolerate it. I have done tai chi the whole time to increase balance and coordination.