@gravity3 That’s puzzling. Did your endocrinologist suggest a different medication? My endocrinologist told me I could go back on alendronate (I took it for 5 years and was “off” that medication for two years before starting on Evenity) but we would first try other medications such as Reclast or Prolia. What’s the reasoning behind your endocrinologist’s recommendation to avoid alendronate?