@beachesanddreams Thanks for your kind response. I guess my biggest annoyance has been my doctor's apparent disinterest in helping out with side effects of the Tymlos...to the point that she would simply switch me to something that she'd spent an hour explaining would not help me enough. (Spine score of-3.6) I am 77 yrs. old, so that made sense to me...not interested in a drug that would merely slow down my bone loss, rather than actively build bone. And this change would have been made with no further discussion, apparently. She knows I am a retired nurse, capable of understanding a choice like this. This condition is long term, and I expect to be able to communicate with my doctor. The side effects may well lessen...some have..but I really would almost rather have the fracture concern than be semi-sick for two years. Have an appointment with a new endo in January..that much I can do. Also thinking about a few days off the drug to see how I feel. Feel like I am trying to sort this out by myself. I have restless leg syndrome, too, so I am used to that.