Are there any good alternatives to bisphosphonates for osteoporosis?

Yes: Prolia is a highly effective drug for osteoporosis. Evista (raloxifene) ( for women) is less potent but reasonably effective. Forteo is the only drug which stiumulates new bone formation but is expensive and has to be self-injected every day. Estrogen ( for women) is effective but not generally used in the absence of postmenopausal symptoms.

Yes: There are other alternative medications for treatment of osteoporosis. It depends upon your risk factors and clinical profile regarding the use of alternative medicines Please seek consultation with the endocrinologist, as treatment of osteoporosis in an younger patient is complex and will need specialist opinion. Extensive evaluation should be done,to find out the underlying cause of osteoporosis