I would like to learn from others who have experience with bone building medication and alternative approaches. I am 63 - T-score in lumbar spine of -4.2; Hip -3.3 and femoral neck -3.3; My endocrinologist has recommended Tymlos or Evenity; I have never had any previous tx. I am considering Tymlos but very reluctant to start treatment due to side effects, the lack of longitudinal data and the long term treatment requirements following a course of Tymlos. I am healthy and active, on no meds except 2000 of Vitamin D3 and K. Have others had positive outcomes with more natural approaches and if so, any recommendations of (holistic) physicians in the Boston/Providence area as I am considering seeking a second opinion. The endocrinologist simply said to start Tymlos and follow up with her in a year. Though she did a comprehensive blood work-up she did not evaluate the Bone Turnover Markers. I would greatly appreciate any thoughts.