@kaa1, I understand your concern. I have broken my elbow, wrist, hand, foot and ankle twice. These bones are mostly cortical. The anabolics help mostly trabecular bones, such as the spine. I was on a half dose of Tymlos for 10 months and am now on a full dose of Forteo. I have improvement in my spine which is wonderful, but no improvement in my hips. They wouldn't test my forearm, but I'm sure with the kinds of breaks I've had, it probably isn't good. I have seen 3 endocrinologists and all want me to stay on Forteo. (I couldn't tolerate any more than a half dose of Tymlos). I figure that 60mcg of Tymlos may be equal to a full dose of Forteo. It appears that no one really knows the comparison though. I will take the Forteo for 6 months and have a 3rd REMS Echolight and possibly another DEXA scan. Someone on this site wrote that Medicare will cover a DEXA once a year if you are on osteoporosis medication. I have had to pay cash for the REMS so far.