Thanks for sharing @katwhisperer, and I think your post is helpful. I am so sorry to hear that Tymlos didn't work for you. My endocrinologist wants me to take Prolia after Tymlos. I do not want to do that due to side effects and having to take it the rest of my life. He says he has 150 women on it. I asked the gynecologist if they help with choosing a medication, and she said they didn't. They just give everyone Prolia. This is a cash cow not only for the pharmaceutical company, but also for the physicians. They get paid for an office call and giving the infusion to every patient forever. The doctors only know what the drug sales people tell them and what they read in medical journals or see on the Internet. My doctors are so busy that I can't imagine them spending time researching osteoporosis, when they can easily just prescribe the popular medication.