@susanfalcon52 @laurensb and all - So what I take from , at least your values , was that Evenity didn’t help in your arm , in fact decreases were appreciated. I would be curious if people taking Tymlos and Forteo - if any have had before and after BMD results of their arms and or legs - what those numbers might show????- Arm and leg bones are cortical in nature ( hard). Spine and hip have a mixture , soft areas and some cortical as those parts of our skeleton are more flexible for bending twisting etc…you get the idea .