Any non fracture members?

@aliv
I took actonel for five years and did the three years of Reclast. Can’t comment about the actonel, but the Reclast did improve my T scores with no side effects .Since I am small and small boned and learned that a TBS score would be helpful when getting my next DEXA, I am remaining optimistic that my T scores maybe overstated, and thanks to all those sharing about TBS . I am choosing not to do Evenity at this time. I want to wait until my next DEXA. I have learned a great deal from everyone sharing. I google every recommendation or question shared, and really appreciate Osteoboost’s seminars and also Osteoboston for information. At 83 I would definitely do Reclast again to remain stable, since I had no side effects then in my late 70’s. Each person is unique and there are so many variables to consider, age, T scores, diet, exercise.

@frog100 Thank you for replying. It sounds like you are doing well! I am leaning toward Reclast so it is encouraging to hear that you had no side effects. You are right; each person is different.

@gravity3 Thanks for your reply! Yes, she suggested Prolia (which I have ruled out), Fosamax or Reclast. I am leaning toward Reclast. I am afraid of stomach problems with Fosamax.
My DEXA shows osteoporosis: spine –2.8, femoral neck –2.5, total hip –2.4.

@gravity3 although my endo was pushing for Reclast, I told her I wanted to try Evenity. She felt certain that standard Medicare wouldn't cover because I've never had a fracture, even though my bone density has decreased 10% in the past 3 years. However, Medicare says that a fracture isn't a requirement for coverage, so I will begin evenity next month.

@aliv

Something you may want to research is the importance of how these meds are sequenced. Of course your own medical history is critical too.
Here is an example:
A bisphosphonate such as reclast or fosomax can impede the bone gains of anabolics, if used first.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6124202/
https://www.sciencedirect.com/science/article/pii/S0378512223004528

@gravity3 Thank you for the information. I am still in the "not severe" category, so I don't think anabolics are appropriate for me. But it is still good to know about them.

@aliv
I think it’s so crazy that we have to be considered severe before they give us the bone building meds. My spine is -2.7 and hips are -2.0. The one Dr suggested Evenity. Which after researching I want to do. My hope is it would put me back into Osteopenia that I could do a drug holiday for a while. My insurance is denying it. So I’m stuck at the moment. I tried Fosomax and had a reaction. So I feel biophosonates aren’t a good match for me. Now I need to convince BCBS the same thing. lol

@aliv I am 78 and have never experienced a fracture except my little toe but many people fracture their little toe without having OP. I have fallen many times throughout my life since I was always active. I have wondered why I have never broken a bone even now at 78. Recently, I have been falling without a fracture with a BMD of -3.7, mostly due to my Border Collie’s exuberance. I have researched this phenomenon and identified two components that may explain this though I have only found scant research literature regarding this. There are two major components of bone composition, the internal matrix and the structural bone. I surmise that OP persons experiencing falls without fractures probably have strong structural bone but depleted bone matrix. Since, I have not found published scientific research on this phenomenon, please share any studies that anyone has identified so I can further understand this. I am so grateful for this forum and have learned so much. Thank you.