@seh801 Welcome! I'm 69, and was diagnosed with osteoporosis in 2022. I had bone marrow edema and fractures in my foot, ankle, ribs and vertebrae. I was started on Fosamax and then went to a metabolic bone specialist who prescribed Evenity.
Since you've responded well to Tymlos, I agree with your thinking that continuing with that to complete two years is a good idea. You can continue to build bone and then lock in your gains. Hopefully your doctor is amenable to discussing that with you, and it's heartening to read that she discussed options with you!
My trajectory thus far has been Fosamax >Evenity>Tymlos. I responded well to Evenity and had good gains. I did one year of Tymlos which I finished March 2025 and only had improvement in my TBS. I was thinking I'd request another year, but I had some issues in the final months of being on it and wasn't sure if they were due to Tymlos or not. Since I stopped it, my severe joint pain and fatigue have resolved. My doctor wanted to start me on Prolia which I did not want, and thankfully she listened to me and understood and ultimately agreed with my reasoning. The plan now is to do Reclast in May. I'm not a candidate for HRT as I have ALH and LCIS.
Best wishes to you moving forward.