@lpalbert27 I went on Forteo as all the loss was in my spine. It was effective with no side effects. After the two year course I went on HRT to maintain the gains. I was 62 at that time and it was 7 years ago when no one was prescribing HRT and my docs were not supportive but ultimately agreed. It has maintained my gains, possibly improved my gains but I exercise a lot and am very diligent about my nutrition so it's all of the above that have helped.