Hi Windyshores. I wasn't aware of the severity of your circumstances when I asked the question. I'm not a doctor, however, I can see Tymlos was probably the right decision for you. My spine is -3.3 and femoral hip neck -2.7. My hip and forearm are progressing but still osteopenia. My doctor is putting me on Prolia (after dental work). I've been keeping a food log trying to identify a specific allergy. This highlighted my diet. Although I eat well (whole foods) I haven't been getting enough protein, fruit/veggies. I've now have a full court press on my diet and exercise regime. I'm hopeful this and Prolia would improve my overall numbers over time.