Let me just add, all dropout rates were fairly low so being higher may be somewhat negligible. I really pushed her for info on how many people had reactions severe enough to cease treatment as I felt that component was significant to me. Having a livable reaction for the better good doesn't bother me, but didn't want to be bed ridden as I still am working on a daily basis. I wish I could remember her whole order - which she didn't tell me until I actually asked if the way she presented also represented the order she would suggest. She then said yes, it is the order she would suggest but it was my decision and she could support any of them. I think by default many list Forteo or Tymlos last because it is the strongest defense so the reasoning is why pull out the big guns first. I think of it opposite, I told her I am still young, if I can build enough quality bone I can also be allowed to do more aggressive weight lifting and all feeds on each other. I also said who knows how much longer I have to live, something else could comes along and present worse scenarios so why not try to get back into osteopenia if possible. And then lock it in with the Reclast. She understood my reasoning - I just think it is the less conventional approach. My doctor is at BWH - Dr Sharon Chou.