@amillisp you are fortunate to have a good doctor. It is known to be better to do a bone builder first, like Tymlos, and then follow up with an anti-resorptive, like Fosamax. Tymlos builds quality bone and Fosamax can help to "lock in" what you gained. Tymlos was very effective for me.

If you do Fosamax first (as insurance wants us to do) it may interfere with the effectiveness of Tymlos if you went to that next. Your doctor prescribed the commonly accepted most effective sequence.

You can watch Dr. Ben Leder's video onYouTube "Combinations and Sequencing" or buy McCormick's "Great Bones" book for further information, or discuss with your doctor!