@louise2023 I would get another opinion, personally. That is not a good score and I wonder if you can get coverage for a bone-builder. If you qualify, Tymlos has an assistance program.

My endocrinologist gives me choices with information. He said he won't ever prescribe Prolia for me.

The fact that you have already been on an anti-resorptive and still have fairly severe osteoporosis might mean the doc can say it it medically necessary for you to have Tymlos or Forteo.