May I ask a few questions to clarify my understanding of your current treatment choices? On top of estrogen and progesterone, are you currently on Evista also? If so, why? Also whats your estrogen and progeterone dosages if you dont mind sharing? After your tymlos' approval, will you be taking hormones together with tymlos? Why and why not?

Personally I think for those of us who have osteoporosis due to estrogen deficiency, transdermal hrt is a great choice if no contraindications exist. The shifting sentiments towards hrt are palpable. I'm waiting for my clearance.

Accidents happen. If you are that active, it might be a good idea to wind down a bit as you age. With a same t score, the frax risk is higher for a 70yo compared to a 60yo. Severity of impact matters too. One of my childhood friends has good dexa readings (t score at ~ -1s) but had a freaking accident on ice. Her left tibia was broken into pieces. I had slipped at home landing on my back and head 3 years before my dx but was fine. I'm not sure I could say the same should I have the same accident today. Sometimes how we fall also matters, but that's out of our control. Fall prevention is still a top priority. Spine compression fracture may be another story.

Wish you the best!