@glogo I am doing Evenity after Tymlos but if your scores improve enough, Reclast would be recommended by the docs I see. I would get on Tymlos and then you have two years to explore follow-up. Some do Prolia, but there are issues with getting off and you do Reclast anyway. Your docs can guide you as well at the book "Great Bones" and various videos. Reclast is used the most often I think and you can take med breaks depending on monitoring, so it's not forever.

Not many do Evenity after an anabolic but my femur neck was still -3.6 so I pestered my doc. I have significant side effects but most people don't have any. I am unusually sensitive and have many other health issues.