@osteoresearch that chart confirms why I did Tymlos first and then topped off with Evenity (I only did the anabolic 4 months). I had nasty breast cancer and had no concerns about Tymlos. Granted there was really no way to know if there was any metastasis somewhere.

McCormick didn't look at all the labs he had requested, with me. I would just send him DEXA's , bone markers if you have them, D3 and calcium levels, and info on fracture. Don't go through the stress of meeting all those requirements. Your scores aren't terrible but you have a fracture and with me, since I have fractures, he just discussed meds and not supplements. It's not rocket science!

You may not need two meds to get you out of osteoporosis but you could possibly achieve an even better target with both. Many seem to be starting with Evenity so that is certainly an option. My scores were worse than yours so I needed longer time on anabolics.

ps L2 at -3.0 was your highest number, not your lowest 🙂