Firstly, as I said my doctor is more concerned with the fact that I am lightheaded from my high blood pressure medication. He is not sure yet if it is my thyroid or my bp med. In the meantime, he did not want to give me either Actonel or Fosomax. I know for myself that the side effects of these two drugs are fairly serious. Also, whether this has bearing or not, my osteoporosis or osteopinia is definitely not severe. He said I had nothing in my hips, something in the lower spine and slight in my forearm. I am feeling better on the Miacalcin since I wrote on the board. Thank you very much for replying to me though. I read that it is not an alternative just another treatment like the other two drugs.