I was diagnosed in 2023 with severe osteoporosis and a spine score of -5.3. After 2 years of Tymlos, my dexa scan lowered to -2.7. Side effects were minimal after the 1st injection - I injected in the evening, walked around the house for about 15 minutes to prevent back muscle soreness, then relaxed for 15 minutes to lower my slightly related heart rate. For the past 14 months I did strength/ mobility training and pilates weekly. I increased daily protein intake to about 110 grams for 1,800 calories. I am ecstatic with the results. I have decided to follow my endocrinologist recommendation and start Prolia for 2 years and then reclast.