@kolika I also saw Dr. McCormick and recommend his book. He suggested Tymlos for me as well. I like the adjustable dose with the Tymlos pen, and I was told I can take Evenity after Tymlos but not the other way around.

@kirstenlheld I don't see any reason why you cannot ramp up with bisphosphonates. With pills I guess you have to check if they can be cut, or look into compounding. For infusions. my doc is going to give me 1/4 dose Reclast (with lots of hydration and premedication, and a slow infusion) to see how I react- after my Tymlos.