At 68, T score is relevant here and to be considered. Anyone please correct me if this is wrong. Yes, most guideline suggest when frax probability greater than 20% for major or 3-5% for hip, drug therapy to be considered. I mentioned to consider drug therapy when 10% for hip frax probability in the previous reply, is from a specific reading according to an experienced bone doctor. Maybe we should just follow the general guideline here. There is an yt video "anabolic therapy for osteoporosis by felicia cosman" by endocrine society of india official, in which she lays out risk stratification, low total hip BMD belongs to high risk and she gave specific numbers. You could look into that. Cosman has done tremendous amount of work with forteo along with others. My video resolution is very poor for some reason hence I won't attach the link. Maybe same talk by a different video source would give a better resolution. Your frax probabilities for major overall and hip are both near where medicine should be considered...From what I've read, tymlos has a bit advantage over forteo in improving hip/femoral neck. However, a lot of times our insurance as well as our body's response (side effects etc) dictates which drug is to be used.

BTW, I forgot to mention that to protect spine from compression fractures, our posture including twisting upper body and/or exertion with certain posture make a big difference. I garden quite a bit, and have modified quite a bit of my posture ever since my diagnosis.

Best

ps your lumbar and femoral neck t scores are not that bad, but I don't know how to read into the obvious drop in hip t score. Maybe some of the members here know. What my understanding is that after menapausal, the declining of estrogen has most impact on lumber, then hip then femoral neck. That's a generalized trend due to the bone structure at each of these site. Each individual may have different scenarios which impact different sites.