No, other than the GP was concerned that perhaps I hadn't been getting enough calcium, which I don't think was the case. The rheumatologist said at least it didn't get worse so in a way it was a win, but we could try to do better. I don't think any osteo drug works for all people all the time. I think some drugs just don't work for some people. I just wish I hadn't waited 4 years to find out.