It's a good question and one that many of us are facing. I started treatment at age 57 in 2018. Did just over 5 years on Fosamax and never thought once of my osteoporosis during that time. I had a vertebral fracture at the end of 2023 and have now been on anabolic medication for almost two years, with a round of Evenity finishing up in April.

I do not plan to continue on medication for the rest of my life unless I fracture again. I plan to do two years of Reclast after the Evenity. I will refuse to take Prolia as the risk of rebound fractures concerns me and I don't want to face that situation if I ever had to stop the Prolia for any number of reasons.

I have been following all recommended lifestyle routines in an effort to address my osteoporosis and will continue to do that.

The story of Dr. Keith McCormick might inspire you. He was diagnosed with osteoporosis many years ago in his 40s, suffering multiple fractures.He began studying the causes of osteoporosis and wrote a very comprehensive book on the disease called Great Bones. He did anabolic treatment with Forteo followed up by a year of Fosamax many years ago and has remained off drugs every since. His DEXA scores haven't changed that much over the years once he started addressing diet, exercise, and supplements.

I'm hoping to do the same and continue to manage my osteoporosis after this round of medication in the same way.