Thanks for the info; you really don't get too much time at the doc's office for questions and a lot of questions come up after your appointment! Been doing a lot of "research" (internet) and my biggest concern is that a once a year injection may come with side effects that you can't do anything about; at least on fosamax you just stop taking it. I would rather not have the treatment be worse than the disease (which is silent for me; very shocked when my dexa scores came back); but I don't want to crumble shoveling snow this winter either! I am going to set up an appointment with my endocrinologist for a discussion about side effects and all options out there.