rajmayo22, my pleasure.
We talk about diet all the time on connect.
Since our exchange will file under your question, it doesn't divert the original posters question. Your question, though, may go unnoticed by other responders. If you start a new message on your profile page, you'll likely receive more response. I'm definitely not the expert on bone markers on this site.
While I am trusting the bone markers in my own treatment, I want the CTX number close to the P1NP number. I place high value on osteoclasts. I struggle with what might be the "best" ratio. I'd like to know the speed of one osteoclast compared to the speed of one osteoblast. And I want to know their relative weight and size.
Thanks for revealing your Bone Marker numbers. Every piece of information helps.
I have read that Asian identity gives a person an added burden in osteoporosis. Some thinking is that there is a genetic inclination toward lactose intolerance. I realize (as an Indian American) you might not be Asian.

There isn't data on the third year of Tymlos because the black box limit of two years has only recently (too lazy to look it up) been lifted. Radius Labs and your endo may be thinking that there remains a limit of two years. https://www.drugdiscoverytrends.com/fda-approves-removal-of-boxed-warning-from-label-for-osteoporosis-drug-tymlos/

Post back with your dxa improvement and any information about the third year, if you like.
Best wishes