@lisainfl I am 60 yrs old and have similar spine score and also slight osteoporosis in my hips. My endocrinologist pretty much gave me the option of reclast, prolia or tymlos. I felt maybe the tymlos would work a little faster and then I could follow with reclast to lock in the new bone. The doctor knows the protocol for the approval process. I believe each insurance company is different on what they approve and how easily. I cannot take oral bisphosonates because I already have esophagus irritation. My endo said the approval will take about a month, which surprised me but maybe that's the longest time. I think they know that questions come back and sometimes the insurance suggests cheaper options to try first and then your doctor needs to justify the use. I would ask your doctor about the approval. I am curious if your doctor said why she chose Tymlos as first line of defense - I always like to compare what different doctors choose and why. Thank you, and good luck!

I am using Reclast for now because it is working. When it stops working, I intend to start Tymlos. My lumbar spine had a bone density of -4.5 2 and a half years ago. I can't take oral bisphosphates so 4 months later, I had an infusion of Reclast. A year after my infusion, I improved my femoral neck which is now at ostepenia and my hips improved. My lumbar spine improved to -4.2. I am due for another bone density test in a month. I am anxious to see what it is at. This past year, I have worked out at a gym an hour a day rowing, walking and weight lifting. I added Vitamin K2 to my vitamins. I will update this next month to let you know if it is working!