After I was diagnosed with PMR (May 2023), I had a dexa scan which indicated that my osteopenia was getting worse. Because I was taking prednisone (along with mega calcium, vit D and vit K), doc wanted me to begin taking fozamax as a preventative measure. I am on a low dose (35 mg) once a week. The hope is that my osteopenia can be stabilized. So far I have had no side effects. I will have another bone scan in 6 months to determine how to proceed. Right now I am tapering off prednisone (4 mg at present), but I don’t know if my body will tolerate a complete cessation of prednisone. I am 77, in good health otherwise, and don’t want to live with pain or possibility of stress fractures. I am trying to take this condition one day at a time. Every morning when I get out of bed without pain, I am happy. Liz Ward