Primary care docs are still prescribing bisphosphonates and Prolia as first line, despite all the info saying bone builders need to be first (Tymlos, Forteo, Evenity) and are more effective when used first. This practice is a result of insurance policies not medical needs. I gather some specialists are doing this as well.

If you have to do a bisphosphonate, residronate is not recommended by my docs. They all use either Reclast or alendronate. In my experience and from my doc, and Keith McCormick's "Great Bones>"