@stacibw I see an endocrinologist at Mayo Clinic in Rochester, MN. I was referred to endocrinology after a sacral fracture was detected by CT (I get CT scans for cancer surveillance and so the sacral fracture was an incidental finding. The sacral fracture was likely due to pelvic radiation I had for endometrial cancer). I had a referral to endocrinology and it took a few months to get an appointment. The endocrinologist and his team spent an hour with me during my first visit for the assessment. He ordered labs, and a DEXA scan and took a very complete history. When I returned for my next visit a month later he went through the findings and said that I was optimizing everything I could for osteoporosis however the fracture put me into another category altogether. He explained, with a drawing, what osteoporosis is and how medications work on bone. He recommended that I start with 12 months of Evenity. He told me that Evenity "builds bone" and I agreed to do that and so I've had 6 months of the injections. After the 12 months my endocrinologist will order more labs and a bone density scan and we shall see what he recommends next. I may go on another medication that will "lock in my gains".

I've been active all my life. I'm now 72-years-old and started lifting weights when I was in late 30's. I still lift weights, I walk, hike, x-country ski (when we have snow) and do yoga. My mother had osteoporosis and was very frail by my age with multiple compression fractures. I don't want to have that life so decided to follow my endocrinologist's recommendations.

I'm hoping you will be pleased with the time and attention you will receive at Mayo Clinic. The decision of what to do will be left up to you.