I was very fearful too and researched all the medications. I started on Tymlos today. I do have a burst fracture at T11. We are trying g to let it heal on its own, but it has been painful. My fears of fracturing my hip or more of my spine was greater than the fear of the meds and that is how I overcame being scared of the side effects. I also pray and will continue to do so every time I inject the Tymlos. I do want stronger bones and some quality of life for myself, my children, and grandchildren.