@ioana
I've read that study as well, which suggests slightly greater BMD gains with morning dosing. This finding hasn't been followed up in larger trials, which may explain why it hasn't led to any formal recommendations.

Coincidentally, i injected at night during my first year (mainly to "sleep off" any side effects), then switched to morning injections during my second year. I saw similar gains for lumbar spine during both periods, with the exception of noticeable bmd gains in the total hip and femoral neck during second year - which is not unexpected, since hip and femur neck tend to respond more slowly and are harder to improve.

I'm now in maintenance mode with HRT, with periodic bone turnover marker testing and yearly DXA scans. My next DXA isn't due until 9/2026, and we'll see then what the data show.

Are you on Forteo now, and thinking about HRT as a next step after Forteo?