I have severe Osteoporosis and this what I’ve learned:
Don’t wait too long to make your decision. Why? Because the solution you choose may not work for you and you’ll have to go onto the next option. That is what happened with me. I started with Tymlos and ended up on Prolia due to side trouble some side effects.

Also, make sure your DEXA scan results are accurate. The DEXA scan I had last year, not at a Mayo facility, was incorrect. Although the radiologist noted a ‘Statistically significant decrease’ on one of my results. No one goes from -4.7 to -0.4 in one year. My PCP did not notice this.
Good luck.