@gravity3 I agree. I don’t want to have the spinal compressions my mother had in her 80s. I’m 70 and recent Reclast has stopped the yearly decline in bone density that I had. I was resistant to take anything - Fosamax was suggested 15 years ago, but when I hit osteoporosis I finally did something. My numbers are back up into osteopenia. I realize that a biphosphonate is not building bone, but I’m not losing more bone and that’s a plus. Only side effect that I felt was a couple of days of flu-like symptoms. These drugs we take are powerful and cause other effects that I cannot not see. But my mom was in constant pain, most she hid. She tried a variety of pain relievers, kyphoplasty, tens unit, trial implanted nerve blocker, and more. None of them worked. We all just try to do our best in balancing what we hope will be the better outcome.