@awfultruth Thank you for your reply. I agree with your points. I too have grave concerns in regards to Prolia. The concern in regards to Tymlos before or after Evenity is that you may start to produce abnormal bone. Tbh, the timing of introducing certain new medications seems to be lacking standard protocols and is up to the doctor's discretion. In my case, I'll do a DTX and TBS after I complete the first year of Tymlos. And in regards to Fosamax and dental work, that endo believes that you have to be off it for any dental work and that's unreasonable. Luckily, I have found a new metabolic bone specialist.