@windyshores Hi !! Always look forward to reading your posts, though I've not been here for a while. Looks like you moved on from Tymlos to Evenity? We had a back and forth about medication sequencing (I was on Prolia for many years—no side effects). In November 2022 my endo switched me to Reclast, the drug I vowed never to take again due to a horrific reaction. I've now had 2 rounds (2022 and 2023) with no side effects from either infusion. Round 1 helped my spine but L hip remained the same. Hopefully something more will kick in from the Nov. 2023 infusion. Supposedly I'll go to Evenity next November. From there, who knows? Wishing you the best on that mid-month appointment.