Positive Evenity results after 10 months of treatment 🎉

I was shocked when I was diagnosed with osteoporosis at only 53. I've always been active, tennis, yoga, Pilates..but also was always considered "small boned." I think for me it was a combination of genetics, a bout of hyperthyroidism mistaken for hot flashes and menopause that contributed to my diagnosis. My numbers were so shocking for a person my age Evenity was suggested as the best option for me. To be honest I was scared to start treatment , but I am so grateful now that I did. I just got the results of my dexa scan, after 10 months of evenity - a 25.5% improvement in my spine (only slight improvement in my total hip and femoral neck) and I am thrilled!! I still have two more rounds of injections remaining and then I'm not sure what I will go on next to preserve the results - suggestions appreciated.
Here are my before and after:

Region Exam Age BMD T-score BMD Change BMD Change
Date g/cm2 vs Baseline vs Previous
AP Spine (L1-L4)
11/14/2025 54 0.884 -1.5 0.180 (25.5%)* 0.180 (25.5%)*
09/26/2024 53 0.704 -3.1
Total Hip (Left)
11/14/2025 54 0.636 -2.5 0.014 (2.2%) 0.014 (2.2%)
09/26/2024 53 0.623 -2.6
Femoral Neck (Left)
11/14/2025 54 0.657 -1.7 0.024 (3.7%) 0.024 (3.7%)
09/26/2024 53 0.634-1.9= 0.022 g/cm², LSC for Total Hip = 0.027 g/cm², LSC for Femoral Neck = 0.029 g/cm²

Impression: The patient has osteoporosis, based on the Left Total Hip T-score. The BMD for the AP Spine (L1-L4) increased by 25.5% since the last DXA exam. Bone mineral density of the lumbar spine may be elevated by degenerative change.

Discussion: SIGNIFICANT BMD GAIN OBSERVED In an untreated patient, BMD typically declines with age. A lack of decline or gain is usually a sign that treatment is efficacious and fracture risk is reduced. It is important to ask patients whether they are taking their medications and to encourage continued and appropriate compliance with their osteoporosis therapies to reduce fracture risk. It is also important to review their risk factors and encourage appropriate calcium and vitamin D intakes, exercise, fall prevention and other lifestyle measures.
Follow-Up: Consider a repeat BMD exam in 2 years or sooner if medically necessary, to reassess this patient's status.