<<Disclaimer: Verify this information before applying it to your situation.>> Thanks to all (and there are many) who have responded. I will be summarizing your responses and suggestions as soon as I'm back on my feet. At the moment, I remain in pain and exhausted. Many of you are writing concerning the side effects I have experienced with Actonel and Fosamax. I wanted to address these questions immediately. They are esophageal spasms, abdominal pain, and headaches. To those who asked, yes I followed the directions exactly (full glass of water and remain upright for at least 30 minutes). I also don't want to discourage anyone from trying these therapies. I have a rather sensitive constitution and some other contributing medical problems. I'd appreciate it if you did not write me for more details on this front as they are the typical Celiac struggles and I am beyond tired of rehashing the whole thing. I hope this info helps and I'll summarize alternatives ASAP. Elysse