@sudsie58 my bone marker testing showed that Tymlos had stopped working at 18 months. Some of us are wondering if we can do more anabolic treatment after "locking in" gains so far with a bisphosphonate. Some posters have said that taking a break from Forteo or Tymlos will result in the medication working again. I plan on asking my endocrinologist about this next time.

These meds do improve bone quality and it is always possible that that effect continues past 18 months.

If your bone density has never been worse than -2.8 you have been in better shape than some of us! Did you get insurance approval for Forteo because of your surgery needs?