I am where you are only in the hip, so very reluctant to start Tymlos or Forteo. If I had started what my endo suggested years ago I’m afraid my picture would look worse than it does. Had I listened to Obgyn, I would likely be better. After one lumbar fracture with kyphoplasty, I’ve started hrt. I had taken progesterone for years and still fractured. I’ve added estradiol and estriol and about to add testosterone. The estrogens for antiresorptive quality and the testosterone for building muscle and hopefully a little bone. I will stay in likely for life with blessings from my oncologist and cardiologist, endo finally on board. It is old news that it’s ever too late to start transdermal hrt. Each individual is different.