@mayblin Congrats on your improvements and being so informed to choose the right path for you. As much as I am intrigued by HRT for follow up, I am also hesitant because prior to my quick decline in bone density, I had been taking estradiol for several years I stopped after menopause and that's when I started fractures . I had been unable to tolerate bisophamates and because of that, I think Forteo worked well for me. One shot of Prolia after two years of Forteo was a disaster on my dental health, so I switched to Raloxifene , which held my gains for 8 more years. Raloxifene is easily available and covered by my insurance. Pretty much zero side effects. It says it acts as a hormone and protects agains some breast cancers. Feels like a safer option to use this again, and back up plan would be to go back on Forteo if I needed another boost in 5 years time. Reclast sounds too risky and Evenity is made by Prolia, so I do not trust it either. Tricky though, because it seems if you don't follow advice of your endocrinologist they will just refer you off to someone else and I believe we need a Endocrinologist special authority request to get Forteo, especially a repeat course of it. Scary journey. I am a poor case study because since my 13 compression fractures, they can no longer read my spine for bone density, which is where Forteo mainly does the most work.