are T-scores 3.5 and 3.9 severe osteoporosis?

@rosemariewalters 3.5 or -3.5…it make a difference

Compare possible side effects to the alternative. If an older senior fractures a hip or spine, it is life-changing, possibly life-ending. -3.5 is a bad score. I would never want to live with that number. You don't even need to fall to get a compression fracture at that level. There are options, but to me, doing nothing is not an option.

rosemariewalters, you might try one of the two bone building drugs that have the shortest elimination timeline.
That way you could quit if the side effects are unacceptable and be free of the drug within 24 hours. Forteo and Tymlos would be the two I'd consider in your situation.
Prolia is in your system for 6months Evenity is given monthly but can stay in your system for over two months.
Reclast is given every year, but can cause side effects for a very long time.
With each of these medications there are people who have no side effects.
Forteo and Tymlos are injected everyday and give your the soonest offramp.
In a similar situation I decided on Forteo. I haven't had any side effects.
Severe osteoporosis is defined as a T score of -2.5 or less with a fragility fracture. Your scores of -3.5 and -3.9 indicate severe risk of fracture.
Have your doctors suggested a medication.

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@gently Thank you for your response. I will mention Forteo and Tymlos to my doctor. He's prescribing yearly injections.

@njx58 I agree doing nothing shouldn't be an option. I am just confused as to what to do. The more I read, the more confusing is is. There's so many different drugs. Thank you for your response.

@rosemariewalters Evenity, Forteo, and Tymlos are the only three that build bone. Evenity, you go to the doctor for a monthly shot, for 12 months. The other two, you self-inject every day for 18-24 months. Evenity is not recommended for anyone with heart issues.

Sometimes, insurance is a factor. Evenity is a medical claim since the doctor gives you the shot. The others are prescriptions.

@njx58 Thank you for this very helpful information.

@njx58 I agree doing nothing shouldn't be an option. I am just confused as to what to do. The more I read, the more confusing is is. There's so many different drugs. Thank you for your response.