Has anyone considered bioidentical hormones to maintain their gains after Tymlos rather than Prolia or Reclast? I finish my 2-years on Tymlos this month and my rheumatologist wants me on Reclast. My cardiologist who monitors all my bloods is suggesting HRT because my counts are virtually nil. I’m 72 and had a complete hysterectomy when I was 38 with only a very limited time on hormones, therein my severe osteoporosis diagnosis 5 years ago. I’ve had improvement in my spine with Tymlos, with very minimal side effects. Now it’s time to begin another protocol and frankly I’m concerned about the next step. I am considering hormones as my cardiologist is well educated in their effectiveness for female health and feels confident they will help maintain my bones. I’ve never fractured, thank God, though my numbers were in the -4’s before Tymlos and I’m very active. I may consider a low dose Reclast infusion, like @windyshores as well and see how I do. I need to get busy as I only have another week before ending Tymlos. Lots of decisions that I don’t like having to make. But we have to be educated and advocates for our health regardless of what we read or are told. It’s quite a journey.