A 73-year-old woman has osteoporosis with T-scores of −4.3 a…

A 73-yeаr-оld wоmаn hаs оsteoporosis with T-scores of −4.3 at the right hip and −4.7 at the left hip. She has also experienced multiple vertebral fragility fractures. She has not previously received pharmacologic therapy for osteoporosis. Which treatment strategy is most appropriate to consider as initial therapy based on her fracture risk?