I am not on any medication (age 68) except for osteo, so knowing that I had to start on a life-long treatment made me feel old and sad. I've been lucky enough not to have physical side effects that I can recognize with Tymlos and then Evenity, but the effect on my self-image has been major. I'm working with myself to see this as positive, forcing me to reckon with age and mortality while I am still strong and healthy!