Margaret Martin, P.T. has a very informative utube video regarding osteoporosis meds. She interviews Janet Rubin, M.D. Endocrinologist. It might be helpful for your particular situation.
https://youtu.be/MExrQDYtZAU

I want to avoid meds as long as I can. Have been doing water walking.

Prolia about killed me. Every part of my body ached. Then took Fosamax but had to quit to have a tooth pulled. Now wondering how long I have to wait after having it pulled to start taking it again. That is if I don't get jaw disease which is a side affect of all of them. Fosamax once a week for a couple months did not cause any pain.

I have tried my whole life to eat for bone health because osteoporosis runs in my family and I found it very hard. Have resorted to supplements. So far staying in the osteopenia range. I am 75.

My new Dr. told me, according to research, there is no need to take Calcium or Vit D unless I have a deficiency in either and to get it from the food I eat. I will be going off Prolia and taking Fosamax in Jan/23.