In your case, I would use Nexium if needed for reflux and treat your osteoporosis as appropriate, with first treatment recommendation being Reclast.
Kule meko yakho ndingathi sebenzisa iNexium xa ifuneka ukunceda ukungxaleka uze unyange isifo sobuthathaka nokuba qoboqobo kwamathambo xa kufanelekile, ngonyango lokuqala olucetyiswayo ekuthiwa yiReclast.