@windyshores Thanks so much for your response. I'm afraid the dexa scan is my only way to see if it worked after going through all 12 shots. Even that is dicey, as my last Dexa one year ago was done 3 months after a moderate L4 fracture, thus throwing off the numbers. I have had unexpected dental issues crop up-so I would definitely get off Evenity if it's not working. I didn't know that the anti resorptive phase kicked in so quickly. I know once I follow with a bisphosphonate I can't have extractions, which is scary. I had to get off of Tymlos due to hypercalciuria, which I still have at baseline, to a less extent than when on Tymlos.