ripley, you don't have to follow Tymlos or Forteo with Reclast. A bone expert who advises me suggests(Actonel) risidronate--a daily or weekly pill with lower adverse event profile. He says risidronate clads to the bone less fiercely than Reclast zolendronate. And so would have less of a blunting on a second round or either Forteo or Tymlos.
Forteo and Tymlos have a slower loss of gains than other anabolics and (it is said) the loss is never greater than baseline.
Anyway you'd have two to three years to decide how to follow the anabolic. And there may be a slew of new choices by then.
I hope you have a good appointment. What ever you decide upon today with your endocrinologist, you can always change your mind. Remember to ask for bone markers.
We'll respect your choices and can't wait to hear.