So sorry to hear your increased side effects from Evenity. I had to stop after 5 doses due to increased Blood Pressure and palpitations ( both I never had before). I was told by my Endocrinologist that I needed to take either Reclast or Fosimax to " lock in any gains that I had". Unfortunately I had a DEXA scan right after I stopped the injections and had no improvement. I was not surprised because I had no improvements with other medications I have tried. All of us our unique in our journeys with OP. I am also very active- walk 4-5 miles everyday, practice yoga and am taking Alendronate ( Fosimax) at the moment. It took almost 3 months for my side effects to lessen. I hope you have the same. All of these medications cause side effects and you need to take the time to decide which is best for you. I am looking at more " natural" approaches to dealing with my OP. Again I wish you much support with your journey.