@gravity3 Where the research is especially lacking is on the followup treatment. For example, there are studies about alendronate and drug holidays - but for women. Hardly anything is known about what men should do. Men have larger skeletons and bigger muscles, on average. Do the same rules apply? Who knows?

I am on a one-year course of alendronate. In January, I'll have a DEXA, and then my doctor and I will decide how to proceed. We talked about taking a year off after a single year of treatment, but again, who knows? I've had no side effects, so if he says let's go a second year, fine with me... but I sure wish there was research on it.