@ipg I am (a bit nervously) awaiting my first shipment of Tymlos. It is scheduled to arrive tomorrow. I will do the Tymlos (fingers crossed no unbearable side effects) and see how that helps, and then my endocrinologist shared the plan of something “other than Prolia so as to give the patient a drug holiday in the future.” I like that idea of not being on these meds forever, if that’s ever going to be possible. Right now, I decided on the drug treatment mostly because I am so young. But I debated because I am so young not to as well. It was a tough decision. In addition, once my ortho surgeon tells me my L1 fracture is healed enough (hopefully early July’s appointment) I plan to start pt with a Bone Certified PT (I am lucky enough to have one in my area) to learn all the tricks and tidbits that I can to assimilate into a new normal lifestyle to get many many more years of good health. I just was lucky enough to retire three years ago and I have SO MUCH I want to do! What might I be missing? LOL. I appreciate the discussions here.