Am I the only one that’s in denial?

@summera1
I meant this as a reply to you lol
Wow - sounds like you are doing all the right things! When I saw you were on Tymlos I said - yes! I too, was in denial for years and felt that using the stairmaster weight training nutrition would all be enough but over the last six years I have deteriorated quite a bit. Due to another condition, I had to go on long-term high-dose prednisone so it was one of the first issues my rheumatologist brought up. Honestly, I am so happy at the potential for actual bone building at this point after all these years being afraid of the side effects of the standard meds. I see how prevalent fractures are and feel blessed that so far I have escaped! I am actually doing a short course of physical therapy to be best informed as to the exercises that will really help me without causing harm as you said, no twisting, etc.. I have a long history of going to the gym starting back in the day with spa lady lol! So I applaud your efforts and wish you much success!!

@wilweten , honestly if I can't maintain whatever BMD I get to (in this next year on Tymlos) by keeping my routine up after stopping Tymlos, Evenity might be what I'm leaning toward. So much can change in a year, so I will start heavier research on my end in about 6 months, and hope that new studies/research come out meanwhile that can guide me. Fingers crossed!

@jenben59 , don't get me wrong, I'm talking about looking for the drug after the one I'm on, if I didn't make that clear. I'm getting excellent results on Tymlos and hoping (and working really hard) to get to normal bone density in the next year. I went from severe OP to OP, and now into osteopenia, so I'm very hopeful.
Good luck in your bone journey!

@boneoptimist, did you have any severe side effects from any of the bone medications? I went to my doctor, had a DEXA scan, was diagnosed with osteoporosis, and was prescribed Fosamax. Side effects do not occur in all women, but I get concerned about the pain and the possible dental problems. I had cancer, and my gums/teeth have problems. I do not want to be in pain or cause myself any medical problems unless there is a positive outcome with few side effects. From what I read, there is not always a good outcome, and some women have to try different medications to find one that works without pain or with very few side effects. I hope everything works out well for you.

@randysarner I was told I must start with a -3.9, but my endo did allow P1NP and CTX blood tests, before weight lifting, one month later, to compare. I had no improvement, in fact, more loss. However, I had not progressed much in one month with weights. I now lift MUCH heavier, but I still want to get better. I think improvement does not really show until you can lift over fifty pounds. I am at 25. I have read of people going from osteoporosis to osteopenia with weight training, but they do not say if their numbers were as bad as ours. My thought was to keep lifting for life. I figure that with Tymlos and weight lifting, I can get my bones as strong as possible. I am hoping that weight lifting might be able to keep me off meds after two years on Tymlos. Time will tell. If you add weight training, get help to lift with correct form, and do not add jumping with a -4 score. I only do heel drops and sometimes a jump off a standard step. I had pain trying to do jumping jacks or jumping rope. As far as exercise, you need upright exercise. So, biking and swimming not so much. Google for correct bone exercising. There are great sites out there. AVOID any lifting WITH twisting and AVOID any spine flexing except a mild bend or twist without weights. I feel so much stronger and healthier with lifting. I was walking 10,000 steps a day for years and it did nothing. Good luck! I have my DEXA Oct 8th. It will be five months on Tymlos and five months weight lifting. I starting weight lifting one month before Tymlos, but had to stop weights for one month during that time because I was hurt. I do not think it was the weight lifting. I had a really bad attack of sciatica, which I have had before Tymlos or weight lifting. (I have bulging disks and stenosis for a very long time)

Sometimes we need to just listen, sometimes it helps to hold someone's hand, and sometimes we just need to tell it like it is. Honestly, I don't understand why people play Russian roulette with their health. You're young (I'm nearly 80 yrs. old) and osteoporosis could shorten your life. Get over yourself about taking medications. It's important to work with your doctor and not simply look to others for medical advice or give credence to bad experiences of others.
In November 2025, I was diagnosed with severe osteoporosis. I lived in a fool's paradise thinking that an active life, healthy diet, healthy lifestyle, supplements, BHRT (bio-identical hormone replacement) would prevent osteoporosis. I don't smoke or drink and mostly stay away from processed foods. It's an absolute miracle that I never experienced any fractures given my activities (cycling, running, hiking, gardening, walking). Two years before I had a total hysterectomy and was literally bent backwards throughout the procedure and most likely already had osteoporosis.
Full disclosure: I have taken BHRT for over 30 years and progesterone is a component. I found out that progesterone aids in sleep and helps alleviate Tymlos side effects. I take BHRT meds at night just before going to bed and my body works through the Tymlos side effects while I sleep.
True story: when I found out that I had to take Tymlos and self-inject it on a daily basis, it freaked me out and I asked if there was a pill that could be taken as an alternative. While the endocrinology nurse was preparing to show me how to self-inject, she quietly spoke and said, "At your age, I'll bet you've had to deal with a lot of hard things in life." I responded, "Yes, indeed I have." That's when she said, "OK, this is just one more." I suppose some people might have been offended, but I laughed so hard because she was right!
I totally understand your fears and concerns because I'm the same way about medications. Every action we do or don't do has consequences. We have to decide which consequence(s) we're willing to live with. Osteoporosis is not curable but can be improved. I absolutely hate the daily injections, but I have a strong survival instinct and chose life and a reasonable assurance from the doctor that Tymlos would help grow bone and prevent further spine deterioration--and it has. Nearly a year later, the severe osteoporosis has improved and I've achieved osteopenia status. I'll gladly accept this and am thankful that the severity of my osteoporosis was discovered and saved this old lady from a painful future.

Sometimes we need to just listen, sometimes it helps to hold someone's hand, and sometimes we just need to tell it like it is. Honestly, I don't understand why people play Russian roulette with their health. You're young (I'm nearly 80 yrs. old) and osteoporosis could shorten your life. Get over yourself about taking medications. It's important to work with your doctor and not simply look to others for medical advice or give credence to bad experiences of others.
In November 2025, I was diagnosed with severe osteoporosis. I lived in a fool's paradise thinking that an active life, healthy diet, healthy lifestyle, supplements, BHRT (bio-identical hormone replacement) would prevent osteoporosis. I don't smoke or drink and mostly stay away from processed foods. It's an absolute miracle that I never experienced any fractures given my activities (cycling, running, hiking, gardening, walking). Two years before I had a total hysterectomy and was literally bent backwards throughout the procedure and most likely already had osteoporosis.
Full disclosure: I have taken BHRT for over 30 years and progesterone is a component. I found out that progesterone aids in sleep and helps alleviate Tymlos side effects. I take BHRT meds at night just before going to bed and my body works through the Tymlos side effects while I sleep.
True story: when I found out that I had to take Tymlos and self-inject it on a daily basis, it freaked me out and I asked if there was a pill that could be taken as an alternative. While the endocrinology nurse was preparing to show me how to self-inject, she quietly spoke and said, "At your age, I'll bet you've had to deal with a lot of hard things in life." I responded, "Yes, indeed I have." That's when she said, "OK, this is just one more." I suppose some people might have been offended, but I laughed so hard because she was right!
I totally understand your fears and concerns because I'm the same way about medications. Every action we do or don't do has consequences. We have to decide which consequence(s) we're willing to live with. Osteoporosis is not curable but can be improved. I absolutely hate the daily injections, but I have a strong survival instinct and chose life and a reasonable assurance from the doctor that Tymlos would help grow bone and prevent further spine deterioration--and it has. Nearly a year later, the severe osteoporosis has improved and I've achieved osteopenia status. I'll gladly accept this and am thankful that the severity of my osteoporosis was discovered and saved this old lady from a painful future.