Hi, I have been on Tymlos for a year. Just had my bone scan and my T-scores in my spine are now all in the normal range. Still need to improve the t-scores in the femur, but I trust they will improve. A few side effects in the beginning, but they dissiapated. I like the Tymlos is a daily shot because I can skip it if I'm feeling unwell. I do not know what I will do after Tymlos because I don't want to go on a biophosphonate. I am researching Chinese medicine/herbs at this point. Good luck to you.