@sunny65 Keith McCormick told me that Evenity causes joint pain in 40% of his patients. I have probably already told you that. Not sure if that applies to back.

Have you considered talking to McCormick? It does cost $350 now for the first consultation. His book does not cover transitioning from Evenity to Tymlos unfortunately. I think I mentioned before that you might get fast tracked for an appointment if you tell the receptionist your DEXA score.

I am so sorry for the frustration you are running into. Was your -5.1 before treatment (I forget)? I hope you get knowledgeable help!