@gently
My doctor won’t prescribe Forteo for me because he says it is best for osteoporosis in the hips where mine is mainly in my spine. He stated that Tymlos was more appropriate for spine. The only option he has offered me is Prolia or Reclast and he thinks Prolia until end of life would be best for me. He will also administer the infusions only as suggested by the manufacturer; in fact, he would not let me continue on Tymlos on a lower dose because he stated there is no data to support the lower dose. However; I have read on this site patients who have had great results with the lower dosage. I have an appointment scheduled with a highly recommended endocrinologist; unfortunately it is not until January 2026. I’m getting the definite impression the endocrinologists are the way to go. My rheumatologist does not use the CTX or P1NP tools to evaluate osteoporosis once on medications either. He does not think that they are necessary but did admit endocrinologists commonly use these tools. Right now I am hoping I can hang on until January but worried I’m going to lose more ground. I have a brand new Tymlos pen in my fridge ($2800) and told not to use it. I wish I could give it to someone here that needs it.