@hipsalve Thanks for sharing your experiences. I have been very upset since I got my 12 month REM scan. Both my 6 month and 12 months scans showed decreases is every area! My endocrinologist was concerned I was not correctly injecting myself, so she had the nurse go over the procedure with me. Turns out I am injecting it correctly. Almost everyone else (on Tymlos or Forteo) has had increases in BMD so hearing that you did not, yet still improved the 2nd year, is greatly reassuring to me. Thank you!