I concur with your thoughts @windyshores. -4.4 is a serious number and even though I am personally reticent to take potent drugs, I wouldn’t hesitate with a score like that. As you know, I started a bio-similar to Forteo because of my-3.1 spine score and suffered uncommon, serious side effects for the first 5 weeks (heart palpitations, chest pains, severe fatigue). I stuck it out hoping my body would adapt and it did!! I’m over two weeks without any symptoms thankfully.

I’m hopeful I get the same results you did, and I’m already considering trying Evenity afterwards. I’ll talk to my endocrinologist in 22 months about that:). I may just do Reclast, then take a 3 year break, then start Evenity. Not sure yet, but my fear of taking the drugs has been trumped by my worry of not being able to be active into my 70s and 80s!!

Thanks again for your time and contributions to the people on this site. It’s been invaluable to me.