@anewyorker I took the 12 Evenity shots with good gains in spine, but little in femoral neck. Dr. talked about Reclast and Prolia. She seems to be forging ahead with Prolia recommendation without further consultation. I was psyched for the Reclast because that's what was mentioned at the beginning of treatment as followup to Evenity. She did mention my age...78...soon to turn 79. Staying on it "forever" is what concerns me. I fear other health issues or obstacles could get in the way of getting the injection, and then you have the rebound! I am considering reclast, and then Prolia down the road in a year if I backslide. If I do Prolia and have to go off of it, I am concerned as to what other drug would be the relay. I also have IBS, and although my reactions to vaccinations are typical for most people, I always react badly about 2 to 3 weeks after vaccination when the immune system kicks in. I am just curious if you mind me asking your age.