@gowalking you are a very brave woman and I admire your strength. I have severe osteoporosis as well as severe chronic pancreatitis, so I’m malnourished and no matter what I eat. I don’t get the full impact in my bones. Last month, I learned that I had a chronic fracture in my neck at C1 C2 and that the surgery to repair that is a six month recovery, and quite debilitating and risky. My bones are likely not strong enough to hold the hardware at this point after only eight months on Tymlos, but I’m facing something not quite as extensive as your surgery but nevertheless overwhelming. I don’t have a support system and live alone so I will have to find assistance where I can, especially so that my kitties do not suffer. Ident interviewed three neurosurgeons and still haven’t found the one that I think I would select. How did you make your determination? I am in Southeast Florida and wish I had access to some more specialized hospitals, but I do not unless I travel for my surgery. Any tips from you would be most appreciated.