@sbt54 if you did a bisphosphonate first, it may have blunted the effect of the Tymlos somewhat, but you got improvement in spine. Could you do Evenity to try to help the hip? I believe Evenity is better for cortical bone, so maybe that could help. Alendronate might help too but it is limited in total time for use. We are all in such a bind and between a rock and a hard place.