@nme1985 the Tymlos pen has "clicks' to measure doses. Fll dose is 80mcg and 8 clicks. If you are sensitive, and reacted to a bisphosphonate, it makes sense to try Tymlos if that is what your doctor wants. Personally I would try a lower dose rather than a few times a week because doing the full dose at any time and any frequency is hard for the bodies of those of us who are sensitive. My experience is that starting at two clicks and moving up as fast as possible, aiming for 6-8, gets my body used to it and makes it tolerable. I hope you can feel less scared!

ps still confused about your scores: L1-L4 IS the spine so why do you have two different scores for spine?