@frog100 Thanks for sharing your story. Sounds like you've been through a lot and have a lot of experience with this. I am working on being diligent with getting the RDA of calcium and Vitamin D as well as low dose K2, also lifting weights 3 times a week. I cannot wrap my head around that my hip and spine are so much better than my forearm. Admittedly, my diet and upper body workouts have been almost non-existent. I just watched the video someone posted here where the Doctor talks about drug sequencing as well as FRAXplus scoring. FRAX score only takes into account the femoral neck of hip- I am at no risk of fracture there at all. So I am sitting on my Dr. recommendation of Reclast doing diet and weights. Best of everything on your osteo journey. I hope things only get better!