@babs10 the discussion about weight and dosing was about Evenity. And I think the optimal dose for that is the full dose, though I have had some trouble tolerating it.

When I came on this forum and described using the adjustable dosing for Tymlos, my goal was still the full 8 clicks on the pen (80mcg). I used the adjustable dosing to ramp up. The goal is still to get as high as you can. You will still have some side effects, potentially, for an hour or two- it is about tolerability. Most don't seem to even need to do this. I am sensitive. If you tolerate Forteo, which most do, great (except for the cost, but there is now a generic). If you don't tolerate it, I would think your insurance would then cover Tymlos. Let us know!

Keith McCormick did Forteo then one dose of Reclast I believe. And then more holistic/"whole body" approaches. I think he had something like 22 fractures. He was/is a triathalon athlete. I believe some of the fractures were in his feet. I asked him about this and also heard it in an interview.

@glojo and others there is nothing "natural" about 680mg of strontium, the therapeutic dose. It is hugely more than what we ingest normally. It will make the density on DEXA look better than it is, because strontium replaces calcium in bone and is denser. Finally, the European version of the FDA banned it for a short time in the ranelate form due to cardiovascular risks. We don't know if that is true for the US supplements. In Europe it was reinstated as an option for those not at risk of cardiovascular events and who cannot take anything else but have serious osteoporosis.

I started it a long time ago, when I couldn't tolerate any meds. I would not take it now, but that is me.