Hello all! I need to decide on next step for osteo treatment and have been so overwhelmed and frozen with fear on what to do. Hoping you can guide me with your stories and advice. I am in my late 50’s and have been treated over the years using Fosamax (18 months), Forteo (2+ years) and now I’ll need to go on something else. My spine is -4.1 and hip is -1.4. I have suffered from life-long gut issues and after multiple doctors and tests, IBS has been the continued diagnosis. I had heard that because of my IBS I have secondary OP as I have also been diagnosed with malabsorption, inflammation and dysbiosis. I am being treated for these conditions the last few weeks, so far with much success. I have also heard that I need to get my gut healed before I can expect the OP to get better. I recently saw a rheumatologist who is recommending further blood work as well. Because of my gut issues, annual Reclast infusion has been the med recommended for me because it does not enter the GI tract. But I am terrified of the risks and side effects. Thoughts on what I should consider? Who else I should see? What would you do? Thanks so much.