Hi Kim. My osteopenia at age 40 went to severe osteoporosis-3.9 at age 60 and is still there. I wasn’t able to take Boniva due to bone pain or calcium pills in my 40s and just relied on milk, diet and exercise. I reviewed Prolia and decided against it. I talked to my neurologist and cardiologist about Evenity and decided to do it. I talked with another patient about her experience after the 12 months of shots and she said her Dexa scan improved substantially with no side effects. I’m into my 4th month now with no side effects. It has to be taken at room temperature and injected slowly to avoid rashes and pain. The 2 shots are one into each upper arm and the effect is less than a flu shot. I’m pleased with the experience so far. Absolutely no impact to my MG. Evenity is the only treatment that is dual action, meaning it both tears down bone like exercise and rebuilds it as biophosphates do like Boniva or Prolia. After the 12 months then a maintenance drug is needed like Boniva or Prolia but I’m going to try Reclast instead. I lost 1 1/2” in my height the last 2 years and an orthopedist xrayed my spine and said it was compressed. My balance and gait has been bad for years so I knew it was just a matter of time before I fell and broke something as I fall a few times a year with seizures. I have an endocrinologist that manages my osteoporosis and the Evenity and she knows how hesitant I am to take other drugs with my MG. Look into Evenity and see if it might be right for you. It’s a very expensive drug and took 9 months to get it approved by my insurance company, but when I explained all of the foregoing and the fact that they would spend a lot more on a fall and fracture that would domino into other health issues, they approved it. If they didn’t I was seriously considering getting a different insurance company as I knew I was at the end of the road with my osteoporosis. All the women in my family broke a hip or spine and didn’t really heal after that. I have so many problems with my spine and left hip so I knew I had to do something and I’m glad I did this so far. After a year I’ll go on the Reclast and if it doesn’t work then I figure I’ll at least had this year without much worry