Hi becsbuddy, I had the dexascan a few weeks after starting the prednisone and the rheumatologist shortly thereafter put me on the generic Fosamax. I wanted to suggest that you check out Sara Meeks on YouTube. Bob and Brad, physical therapists, have featured her on a couple of podcasts. She is an expert on osteoporosis, works with people who have severe cases, and teaches other PTs about it. She also has osteop. Just google Bob and Brad Sara Meeks osteoporosis. She's very informative. I've done her spinal alignment exercise, which I find helpful after a day of working on the computer. Thank you for everything. TSC