Hello @jdshep , thank you for writing to me. My pain is kind of “ traveling” through all my back. Yesterday was in thoracic area- it felt like fracture, today went to my low back. I started to have a lower back pain back in April. It has been always in lower back. But when I startedEvenity in July - it became much worse. I only have pain in the spine and around rib cage. Always feels worse after injection. I talk to a couple endocrinologists about switching to Tymlos but they don’t think insurance is going to approve and they both advised me to finish all 12 injections. I am not sure if Tymlos would be different and wasn’t sure if this is right sequence after Evenity. They both said that my bone density is so bad that I must go on another bone builder right after finish Evenity. It’s very confusing. If I don’t have an excruciating pain , I could look for another doctor, but the pain is so intense that I can’t go and look for another doctor. Surgery is not an option for me.