@jamiebones I am surprised that your docs are suggesting Tymlos or Forteo with spinal osteopenia. Maybe it has to do with helping your oral issues heal. Ask your doctor! You may be able to get insurance coverage despite your relatively mild bone situation because the fractured tooth means no Fosamax.

Interesting that your arm was scanned. I have never had an arm done in a DEXA scan. I believe arm is cortical and spine is trabecular and the meds may have different effects on the two types of bone. Again, discuss with your doctor. https://thisvsthat.io/cortical-bone-vs-trabecular-bone#:~:text=Cortical%20bone%2C%20forming%20the%20outer%20layer%20of%20bones%2C,structure%2C%20allowing%20for%20shock%20absorption%20and%20metabolic%20activities.

I did Tymlos after fracturing and it really helped me heal and I had almost 20% gain in spine. I miss it! I felt safe on it.