@prehorselover Ideally we should have DXA scans before and after each year of treatment with a osteoporosis med. I realize there are insurance and money and availability issues but if possible that's what we should all do, imo. If you go from one drug to the next without knowing what the first drug did for you it will be virtually impossible to know what effect you got from each drug. If you do not know that you will not be able to know for sure what to do in the future. For example if you take Evenity for a year you need to know whether it benefited you or not because you may want to take it again in the future. If you got no help from it the first time you would probably choose a different anabolic med in the future. Conversely if you got great benefit from it the first time you might want to take it again in the future. The same goes for all the drugs. It's crazy to take these things year after year just assuming it's working for you the same as it does "on average".