@curlylocks7 thank you yes, asking first this time exactly what is in the proposed injection and systemic or localized effects on bone. It is possible all epidurals are not alike. Trying to break it all down, no pun intended. Was on Forteo for two years followed by a year from infusion based Reclast to maintain the gain. I really don’t know if my response to Forteo was blunted a bit. The question is worth asking. This seems to be an area of differing medical opinions. The Tymlos will be once per month at a provider office or center, if covered by insurance. Working with a recertification. It is worth noting that there is some degree of cardiac risk w Tymlos to balance against the falling risk. So I must be more careful w diet, etc.