@inlimbo reading your post raises this thought: Are you looking at the balance and absorption of nutrients? Also, if you consume alcohol, that adds to the problems related to bone health. Any alcohol! (Yikes!) There are many factors to look at that may include medications. Medications should not be the first course of action. Fosomax takes calcium out of bone to put it somewhere else does not address why the body is not producing/eliminating bone material (osteoblasts and osteoclasts).