, I was diagnosed with severe osteoporosis in my early 50's. It runs in my family - mom, sister, aunt, cousin.
I started on fosamax. That didn't do much for me. I am currently on Prolia injections. My dexa scan numbers still aren't great so my GP and rheumatologist recommended a daily injection of a drug similar to Forteo. Both my mom and cousin used Forteo.
At this time, I don't have the mental energy to start on a new drug in addition to methotrexate and a biologic. My understanding GP is allowing me to remain on Prolia for now.
I am adding in some weight bearing exercise as well. I wish I liked milk. Or cheese. Or ice cream. I've been taking a calcium supplement and D3 for years. Kudos to you for staying on top of this and asking questions. Good luck!