I really wasn't keen on going on bisphosphonates. I may have to at some point but it wasn't a first choice coming off Forteo. Evista is known to have some side effects. None of doctors felt that it was a great option (but they also didn't think HRT was a great option either!). Again, I wouldn't rule it out completely, especially if I have to go off the hormones at some point, but it wouldn't be my first choice.