I have read all the posts, going back to 2019 and thought I'd write my experience. Diagnosed at age 50 with severe osteoporosis (T-score of -3 something); I am now 72. I had a complete hysterectomy at age 35 and am convinced that is what started all this. Did not want to take medication, so tried diet and lifestyle changes, but looking back there was not enough info out there in 2000. Slipped on the ice in Feb. 2021 and fractured a thoracic vertebra. Found out I had other vertebral fractures. I did not have pain and was not aware I had been fracturing; they can be silent. My T-score was -4.5 in 2021. I embarked on serious lifestyle and diet changes and this year my T-score was -4.7, so no improvement. I found a chiropractor in Massachusetts that had severe osteoporosis in one hip at age 45 and plunged into the study of bone-building and is quite an expert now. I flew from Texas to MA for a consultation and the first thing he said to me was I had no choice but to go on medication. He recommended Tymlos, because I had been on Forteo in the early 2000's, but there was only a little improvement in bone density, plus no one told me I'd have to go on another drug when the Forteo was done, so I lost the bone within two years. The bisphosphonates only give 2-3% improvement, but with Tymlos you can see 8-9%; that is why he recommended it for me. Tymlos can affect the forearm, so I had another bone density test last month (different facility, because the other did not do forearm testing) and the overall T-score was -5.1. Yikes! I'm hoping the disparity from earlier this year is because of the different machine. I pick up the Tymlos next week and will start on it immediately. After the 18 months or so I'll take one of the other drugs--can't remember the name right now. Hoping to see vast improvement as I continue working on the nutritional side of this.