@sallyj2 I have posted a few times that I had a 9% gain in hip and 6% gain in femur neck as well as 20% gain in spine from Tymlos. My docs, and McCormick, said Tymlos does not increase cortical porosity the way Forteo does. Both are still good drugs and well-proven but especially for spine and yes, Forteo has sometimes affected porosity in the hip apparently.