@cman55 I am so sorry to hear about your girlfriend. She has gone through far too much because of the osteoporosis. I am lucky that when my osteoporosis was discovered, I had been working out for many years and had developed muscle. Although I had a fall, I was fortunate to suffer a high ankle sprain. Fortunate, because that sprain, as bad as it was, did not break anything. The effects of the sprain stayed with me for three years. That is why Wake Baptist put me on Tymlos for 21 month. Three months were every other day, and 18 months of daily shots. Then I went a Prolea injection every six months. Although the recommended time for Prolea is 10 years max, Wake believes I should stay on it for the rest of my life. I am currently looking into another type of injection that doesn't have the same side effects as Prolea. I pray that your girlfriend is getting the right kind of care. Sometimes, that involves a number of specialists. What's most important is that she recover from all of the health challenges she has faced for way too long!