@maureent I had bone marker blood tests done at 18 months that showed Tymlos was no longer building bone. It might have stopped even earlier. At 18 months I had gained 20% in spine going from severe to borderline. Maybe you could consider stopping earlier. I did do 2 years but only for maintenance and to delay decisions about follow up because I was having other health problems.

You could do bone markers and maybe a DEXA to see where you are.

Radius Assist, the financial assistance program for Tymlos, only covers 18 months which may say something!