I had a good endo at the begiining of my treatment - which was at a crisis point - but I was not knowledgable of OP and did not know about the meds and labs. My endo did not do bone mrkers because was the office policy not to use them . They are a bit complicated to get an accurate test result - so you must get good conousel in how to have it done and what not to take that might effect the result ( the timing of the test is impotant, being off certain supplments is important etc. -- no collagen, no biotin etc - you have to know the protocal)
If you are not yet on medication, make sure I repeat, make sure you have bone markers done to establish your baseline and make sure you know how to get them doen correctly.
I do not yet have a plan for after tymlos - but it is critical in this case to use something or all gains may be revereesed,, Its not so much to seal in gains as it is usually explained - rather it is to subdue the overactive osteoclasts ( bone dissolvers) which stay activated for some time after the meds and continue to eat up bone while bone builders are resting.