Just saw the endocrinologist today and she immediately had me go off actonel 35 mg. once a week due to the fact I am having issues swallowing food. I am having an esophagram swallowing barium test in two weeks. She was worried the actonel would "burn"my esophagus!!!! This is after having a one time prolia shot which I had terrible side effects from. Just had a Bone Density scan and actually everything improved-. I decided to take a drug holiday for a while to get over all these side effects. She wanted to put me on Tymlos and I said no- I don't want any further side effects. I am very fit exercise about 11 hours a week- lots of strength training and cardio. I am 76.