I have had Osteoporis for over thirty years and have been on every version of the drug in that time. At the age of thirty, I had the hip of an eighty year old woman, so had no alternative, but to take it.
The only side effects I had were chronic heartburn.
I now have a yearly infusion and will be having a break for the next couple of years. You shouldn't be on it long term, but I have been. Due to a number of factors, I am very high risk.
My bone density is presently within the range for my age group, so the drug has obviously done what it was supposed to do.
Fortunately, you no longer need to fast all night, then stay upright for an hour, after taking it.
I have had broken bones, but not as many as I would have had, if I hadn't taken it.
Natural alternatives, wouldn't have been an option for me. I weighed up the risks and because I had no intention of ending up in a wheelchair, I took it.
If you do decide to take it, remember to inform your dentist.