@beachesanddreams I hope it is going well for you! I want to give you encouragement. I was diagnosed with severe osteoporosis in my 30’s and have so worried about side effects that I put it off until now, and I’m almost 63. A few spontaneous spinal compression fractures woke me up. My first few days I felt naseous and a racing heart for a bit, but looking back I think this was fear , not the drug. I tried smaller doses and it made no difference. I take it every morning as soon as I get up so I don’t forget. Often I’ll have a small snack then off to my workout. I have had no side effects since and am glad I finally took the plunge; I wish I’d done it sooner. I really hope it’s going well for you too!