Eventiy can follow PTH meds - and there are studies to support this.
I took tymlos 22 months/ actonel six weeks/ and am now on evenity
My history is that I was fracturing ( non traumtic) both feet and discovered sever osteo and was put on tymlos.
There were a tremendous amount of tests done to clear up imbalances and eliminate disease possibilities including genetic work ups. PTH meds ( forteo more so but also tymlos) are known to reduce cortical strenght/quality in some people. Feet are primarily cortical bone ( as are forearm and hips also have a moderate amount of cortical . I stayed on tymlos 20 months but felt deterioation in the feet about month 18 but I didnt relaize it was the medicine. As tymlos was finished, I was put on Actonel temporairly until we figured out what to do for the feet. It was a bit of a battle. Evenity has a better response in cortical bone so that was the decision. I am now in my 11th month and the feet are improved. I will see dexa results in the next week.
Be a strogn advocate for yourself. This is a complex disease and every one has different circumstances Sending postive energy for your path to healing.