@hillclan I assume you have not yet done any meds? Primary care docs tend to prescribe anti-resorptives like Fosamax or Prolia first. The problem is, my docs, my reading and various studies show that the bone building drugs Forteo, Tymlos or Evenity should be done first, before Fosamax/alendronate. In fact, bone builders have been shown to be less effective if done after Fosamax or Prolia. The problem is that insurance companies require that we fail the antiresorptives first before approving bone builders. If your DEXA results are severe perhaps your doc can advocate for you.

See Ben Leder MD's video online about Sequencing and Combinations and Dr. Keith MCCormick's book Great Bones for more info!