My experience is with alendronate after a successful year of evenity. After 1 year of alendronate following evenity course I continued with great gains in both spine (baseline -3.1 to -2.0 to -1.6 to -2.3) and hip (baseline -3.3 to -3.0 to -2.8 to -3.0) but then after year 2 of alendronate lost nearly half of those gains that alendronate was supposed to lock-in. Had I not insisted on a yearly DXA I probably would have continued the alendronate not knowing it wasn’t working anymore. So I’m a huge proponent on annual DXAs!!
I’m now on a second year of Evenity and probably will use Reclast to lock in but will always insist on annual DXA.
No fractures and had successful bunion correction surgery and continue with lots of exercise and weight training. Another DXA in October 2026.
I would also like to try some type of HRT but cannot get any doc to put me on it despite zero calcium cardiac score……….