Interesting! I hadn't read about hot flashes being a side effect so I wasn't influenced by anything I read. I just finished my 4th Evenity injections. I've had several hot flashes in the past two months. I couldn't even convince myself that they were hot flashes, but after reading this, yup, that's what they were. I also haven't had them since menopause 24 years ago. My main issues have been horrible fatigue, which lasted almost the whole first month, and three weeks into the 2nd month. Now it seems to have eased to several days after the injections, thank goodness. I'm determined to finish the one year of treatment, although I read that if you take Evenity after Reclast, it might not work as well. I had two years of alendronate and two years of Reclast, yet my spine T-score is worse. I can't believe some people on this blog believe natural supplements might work to increase bone density or keep it from further decline. They do not.