@cbusgma2017 I got a REM scan 6 months after starting tymlos, then 12 months after. Both scans showed decreasing BMD. When I saw the 12 month REM results, I really panicked. After all, BMD is supposed to increase at 12 months, not decrease! Fortunately, a few weeks later, I got a DEXA scan, and the results showed an increase in my spine by 10.4%. My doctor thinks the REM scans are inaccurate. See:
https://melioguide.com/osteoporosis-prevention/rems-bone-scan/