@mayblin thanks. Just joined yesterday so I will. It is frustrating not to know for sure but all the testing should rule it out but apparently the genetic testing doesn't catch all of it. So it is wait and see but until I know for sure and now the safest is the daily injectables. Before that low value alkaline phosphatase came back (first time below normal at age 73) I was going to do IV Reclast and then a year later go to the doc each month for Evenity. Medicare (regular) totally covers the in office stuff. The injectables are not covered as well though for 2027 there is an out of pocket max of 2400----another reason I am not starting until January 2027. My Current part D plan only covers Forteo and if I started I would have an extra year of the 2400 or more if they raise if in 2028.