Thank you for that info! My endocrinologist’s office had several changes to their nurse practitioner position since I have been a patient there and the rebound effect was not stressed to me, or by my PCP! Time to change for sure. Meanwhile it sounds like Tymlos may be the most effective way to regain some bone (hopefully) fast. I’m only 67 and am so restricted right now in what I can do, even after 2 kyphoplasty procedures. Ugh I watched my mom go through osteoporosis and it sucks!!!