Inclusion Criteria:  Diagnosis of Type 2 Diabetes Mellitus Postmenopausal female Age >55 years Hemoglobin A1c between 7-10% within 6 months of the first visit.  Exclusion Criteria:  Patients with type 1 Diabetes mellitus Patients with a history of GLP-1 receptor agonist/DPP4 inhibitor use eGFR <30 ml/min in the last 3 months Patients with a history of pancreatitis Personal or family history of medullary thyroid cancer Patients with a history of treatment with anti-osteoporosis agents Documented secondary osteoporosis Documented presence of prosthesis or devices in the spine Unwilling or unable to consent