@strongbonez I was on Fosamax for just over five years. I had reasonable gains for the first two years, was stable through 3 years then my T-scores started declining in years 4 & 5. During this time, my PCP was managing my treatment.

Just after my fifth year on Fosamax, as I was preparing to take a "holiday", I had a compression fracture at T8 caused by bending over a bathtub and placing a lot of pressure on my rib cage. It didn't even occur to me that it might be a fracture as I have worked out for years and had occasional back pain. When it didn't get better after three months, an x-ray was ordered and a healed fracture of "indeterminate age" was reported.

After that, I stopped the Fosamax and was sent to a rheumatologist who performed a few basic blood tests and prescribed Tymlos. My insurance company cut me off after four months and made me take generic teraparatide which gave me severe constipation that was unrelieved even with laxatives. I chose to go off it at that point and asked my PCP to refer me to an endocrinologist affiliated with Stanford who specializes in osteoporosis.

She prescribed Evenity, which I took for 12 months. I just had my first Reclast infusion yesterday. She was the one who discovered the hypercalciuria. I feel like I am good hands now with her.