@hikernurse Thank you for posting this new Discussion. I will be starting Evenity within the next month. I have been active throughout my life although some of the activities I used to do at a younger age have been modified. I was diagnosed with osteoporosis about 10 years ago by my primary care physician. I finally agreed to go on Fosamax which did help to increase my bone density to the extent that I was in the osteopenia range after 4.5 years on that medication. That was in 2021 according to a bone density scan. I had an endometrial cancer recurrence in 2021 and had external pelvic radiation (and two sessions of internal brachytherapy). I experienced a sacral fracture sometime late last year that I was unaware of until it was found on a CT I had for my cancer surveillance appointments. I can say in retrospect that the sacral fracture did affect my gait and balance which I wondered about at the time. Fast forward to August, 2023 when I met with an endocrinologist to discuss the sacral fracture and what I should do next. He ordered a bone density scan and CTX blood test. When I met with the endocrinologist after those tests he said that the osteopenia looks stable (in comparison to the bone density scan I had two years ago) however with the sacral fracture he recommended that I consider taking Evenity for 12 to build bone density and then another med after that to “lock in” the bone density. This is where I believe you are right now, @hikernurse. At the “lock in” stage.

I am tracking my daily calcium to make sure I get the minimum of 1200mg. This means that I added dairy back to my diet which I’d eliminated in early 2022 based on recommendations for cancer prevention from my Integrative Medicine physician. I track my exercise and walking with my Apple Watch. At this time of the year that means walking outdoors when the weather is pleasant and the strength-based gym sessions I go to with a personal trainer. I take calcium citrate (333mg) with a meal if I figure I didn’t get enough calcium from food sources during the day. I also take 1000iu of D3 per day.

I am trying to live my best life with all this monitoring of my activity, mineral and vitamin intake and soon with starting Evenity. Your experience, @hikernurse is encouraging.