Thank you for your reply @windyshores . Actually so far I got 4 injections. I am going for my 5th next week. My plan is to ask her to give me one shot instead of two. Not sure if she is going to agree. I want to see if this makes any difference. I finally got a new doctor. I insisted to have a DEXA test even I supposed to wait till next September, but I am having it at the end of this month. The pain is so bad that I have to take matters into my own hands. Previous doctor told me that she wouldn’t have a problem to switch me to Tymlos. What would be your advice? I been reading that some ladies on this site are having back pain while on Reclast or Tymlos. Not sure why everyone scared of Prolia. I am a little bit confused. I have a friend who had terrible side effects while on pills and Reclast. She just quit all together. Not sure if I have this choice- my DEXA last September was at -4.8 spine and I have two fractures that I know how I got them and the other two I have no idea. If I have a manageable back pain I would probably stay on Evenity all 12 months. But something has to be changed.