I will add that although his book is very good, I'm not sure how helpful he was to me personally. He did not know how I got osteoporosis; I did all his initial blood tests, and nothing stood out. He didn't know why I had done so well on Tymlos even though my P1NP and CTX scores weren't very exciting.

He did just give me some good information, though. He said, after Tymlos, I could take Fosamax for just a year and then take a holiday; I'd monitor via CTX and DEXA. Usually I hear that you take it for at least two years. I expressed my misgivings about doing a Reclast infusion, and he didn't disagree; I plan to avoid Reclast completely.

The other thing is that he personally does not use meds! His spine was once -4.something. He took Fosamax for just six months, and then decided to rely on nutrition and exercise. His spine is now -3.3. I asked about that, and he said "I don't care if I have osteoporosis. I only care about not fracturing." He did remind me that DEXA measures bone density but not bone quality.