@goseve you and I share many of the same issues. I had bilateral hip replacements in 2017 so my hips cannot be measured with a DEXA scan. My spine has suffered a lot of disc damage and degenerative damage over the years and there again the DEXA scan is not reliable. My Radius wrist measurement with DEXA was -3.2. I am on Tymlos now for nine months but not taking the standard dose and instead taking only 70 MCG. I would very much like to start taking HRT but I have been post menopause for 25 years and at age 77. Most doctors seem loath to prescribe HRT I am interested in learning what you will be doing for treatment.