The FDA warns that bisphosphonates, a class of drugs used in the treatment of osteoporosis, may increase the risk of fractures. This includes fosamax, actonel, boniva etc. Osteoporosis in peri and menopausal women is of concern, but weight bearing exercises, good nutrition and adequate intake of calcium, magnesium, vitamin D, boron, vitamin K and trace minerals will build better and stronger bones. In addition, optimizing testosterone, estradiol, progesterone and cortisol levels with bio-identical hormones is key to prevent bone loss which leads to fractures. Get your Vitamin D and hormone levels checked and test to see if you are losing bone faster than building it.