I have had 3 months of Evenity injections and getting my 4th later this month (January, 2024). I already had joint pain in the lower back and hips so it's difficult to figure out if Evenity exacerbated that joint pain. I believe Evenity did exacerbate the joint pain in my thumbs but I'm willing to tolerate that given the benefits I need for Evenity. I had a sacral fracture last year that I was unaware of until it showed up on CT (CT performed for another reason). Despite the joint pain that comes and goes I exercise daily which includes walking. I do weightlifting a minimum of two times per week. Now that we have snow I'm going to x-country ski so I'll see how my joints feel after that.