Thank you so much for this info about Actonel. That option sounds more appealing to me than the others.

I know I have to take something after Tymlos is over - I'm just trying to find an option with the least undesirable side effects!

I am reasonably faith ful to doing 30 mins of aerobic, usually stair climbing machine for 20 and 10 of the treadmill at 3.7 intensity. Then I do about 6 or 7 machines, always trained at the back ….so the low and high row, the one where you lean up, the one where you pull weights towards you, the abdominal machine, and one free weight. The free weight one is using a 30 lb (started with 10) and kettle bell. I put it on the floor and lift it up to a standing position with knees facilitating the lift. My physiotherapist said to not do chest machines to build up my chest as this will pull me forward and I have scoliosis . So I do anything that says it helps the back. Also do some legs and arms just not to become a fragile old lady Have to say though I DID this routine for two years without the drugs and i got slightly worse. I was pleasantly surprised that the Actonel worked! However i think the exercise is so important not to become weak. I thought i would have to go on Prolia or something other shots but I can go without for a few years. Then I will go back on the Actonel if that is an option. I have two friends who have decided not to go on the drugs because of the potential side effects and I get that , it is scary. I have to share that three of my acquaintances ( not these two) got back compression fractures and I was so scared of that . I play croquet and it would break my heart to stop that. One had to have surgery and has rods in his back. He is reallly infirm looking now , I don’t know if the surgery was successful or not but he has a bump in his back. The other friend is super wholistic person, and when she got the drugs she was researching like crazy until her doc told her “You have no choice about this if you don’t want to end up in a wheelchair” so she is on shots of some kind. I am worrried about the friends who have chosen not to go on the drugs based on the other two friends who have had tough outcomes. I didn’t want to do the Actonel either but I want to continue to do the things I love. Croquet involves bending which strains the back. I need mine to work. The third friend who got compression fractures had to stop playing croquet, at least temporarily. she didn’t know she had osteoporosis and was waiting to see an endocrinologist to see what her options are. she has scoliosis (mild like me) and was told with the compression fractures and the scoliosis that she has an “unstable back” which didn’t sound like a good situation. Re reading this I see i have 5 friends with osteopenia/porosis . Three of them didn’t know about it, and got compression fractures. Of the 3 with compression fractures, one had surgery (the man, just bent down to pick something up and was in incredible pain) , one who is taking shot type drugs, and one who is waiting to see the doc. The other two friends think that doing exercise is enough and one has even decided never to have DEXA Scans . I was convinced the exercise would do the trick too, until it didn’t. Both of these women are beautiful and I know the jaw scenario is so scary. So it is really a scales of the likelihood of that necrosis happening (very small) and the likelihood of a compression fracture. I guess I thought based on the 3 friends with fractures and none with jaw necrosis I am going to go the drug route.