@normahorn I just researched the "rebound" effect from some of these medications and Evenity is one that "without immediate use of an antiresorptive after..the patient will experience "a rebound" and not only lose bone density but substantially increase the risk for fracture." From Great Bones-McCormick which he has notated from several others. I appreciate your response as it made me do a bit more research. Unfortunately there are no easy answers and we all respond differently to these meds/protocols. Thx!