@windyshores,windyshores
Thank you for your quick response. The doc that told me I would just have to try Fosomax first was a rheumatologist my PCP referred me to. He did say that Tymlos would be far preferable. But then he said it would be Prolia after Tymlos (should I eventually make it to Tymlos), for the rest of my life (I am 62).

I am blessed to have a doctor in my area who specializes in bone health and the hospital system she associates with has a women’s center very near me that focuses on osteoporosis. I have seen her PA (I would have had to wait until September to see the doctor). They seem to be very comprehensive and have ordered all the tests (parathyroid, celiac, etc) mentioned in these discussions. I plan to stick with them.

They said to get 1200Mg calcium citrate plus D3 between food and supplements daily, exercise wisely (and they sent me to physical therapy), and I go back in July at which point we will discuss meds. She did say that meds would be a necessary. I am hoping that with their expertise and experience, insurance will cooperate with an anabolic. But I am trying to gather info to make an expeditious decision if they do not….

Also, I take care of my elderly father and he was just diagnosed with cancer (third time). It looks like this go around could be difficult, and I want to take care of myself, but not be incapacitated with side effects to the extent I’m not 100% there for him……so Tymlos really appeals since you have talked a lot about being able to ease into it by managing dosage……