Thanks for sharing your story and I am so sorry you suffered fractures. My endo is pushing Alendronate and didn't seem to see Tymlos as viable. However, my primary care doctor seemed to think starting with HRT was wise; so, I am starting with a very low dose of HRT (vaginal estradiol .5 gram twice weekly). The endo said the high calcium could be due to high calcium in my diet; he will retest in 3 months. He doesn't seem to have knowledge of bone markers, but he said he could run the NTX test, the others (p1NP and CTX) he said aren't offered by Kaiser.