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@michaellavacot

Hi @prehorselover - Sorry for the delay.

It looks like you had really good results on Evenity, especially in the hip area. Based on the main Evenity trial that was followed by alendronate, I would start alendronate (Fosamax) ASAP. Get another DXA scan in two years and maybe you can take a break from drugs for a couple of years.

I would not transition to Prolia as you really don't need it in my opinion.

You're looking good! Mike

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Replies to "Hi @prehorselover - Sorry for the delay. It looks like you had really good results on..."

Thank you so much!

My goal is to increase my bone density enough that if I fell off a horse I wouldn’t fracture. I want to start riding my young horse in 18 months.

Is that possible with HRT, Fosamax, and jumping rope several times a week?