AKT-4960

An 80-year-old woman comes to the clinic for evaluation. She has experienced gastrointestinal discomfort with two different bisphosphonates and is unwilling to go to the hospital for regular infusions. She smokes ten cigarettes per day and has a BMI of 20 kg/m2. She has a history of a left Colles fracture. Her T-score is −3.5.
What is the most suitable next step for managing the patient’s osteoporosis?