I decided to wait before starting Tymlos, and got my endocrinologist to agree to wait a year to see if HRT does anything to help my bones.

In the meantime, I got a REMS bone scan that shows my osteoporosis (so is consistent with my DXAs), but shows my bone quality is quite good with relatively low fracture risk.

Feeling good about my decision to pause. Will reconsider Tymlos after I see what happens with my next DXA scan.

Thanks for asking, @mundy !