I have nothing specific about osteoporosis meds, but at my annual with the PCP, I refused the bone scan because I'm not taking those meds anyway. Chance of femur fractures, disinegrating jaw, losing teeth, stroke? No thanks.
My previous PCP didn't like the infusions or any of the monthly drugs, but he said he'd prescribe the daily ones. His reason was that if the monthly one caused side effects, you're just stuck until the dose runs it course. If the daily one doesn't agree, it can be stopped right away.
I'm not particularly at high risk, watch my calcium and D3 intake, and have done manly type work all my life. I've only had one broken bone, a greenstick fracture in my arm after a horse fell on top of me.