Thank you for taking the time to reach out and share your knowledge. I had a DEXA eight months after starting Tymlos and my lumbar improved significantly, from -3.9 to the -3.1. That’s great news. L hip from -3.0 to -2.9. The R hip, L and R femur all stayed the same, in the -2.3 to -2.4 range. The forearm however, which I’ve never tested before, came in at a whopping -4.8. I don’t have a prior number on that because they never tested it before but I’m assuming that this is a decrease. This scares me because it will potentially get worse the longer I stay on the Tymlos, and even though we’re more concerned about breaking a hip and thigh, I really don’t want to break my forearm either. I spoke with McCormick who said that the forearm bone will not grow back. He said because my numbers are actually pretty good, I could cut my losses, preserve my forearm and switch to Reclast. I’m worried about the Reclast and some of the other meds because of the potential jaw necrosis. They say “don’t get a tooth pulled while you’re on it” but how can you avoid that if it’s needed? Wait a year? And some of the side effects of Reclast sounds horrible. I know that it’s uncommon but what if I’m one of the small percentages? All of the options are frightening honestly and it’s hard to make a decision. My endocrinologist basically disregarded my forearm concern. “Do some wrist exercises and continue on Tymlos”, she said. Sorry about the long-winded message. I don’t hear many people talking about the forearm concern. This seems like a big one to me. Am I missing something? Thank you 🙏🏻