@fearfracture I have had osteoporosis since 2007-
16 years now. I tried a lot of meds and worked with a doctor most of that time including 5 years on a cancer med that caused bone loss (and my docs would not put me on Reclast due to afib). I had traumatic fractures from a fall in 2006; more fractures from an unfortunate movement (and yes am careful, do tai chi, and had PT training on movements to avoid, but mistakes are made) in 2021. I finally managed to get on Tymlos in 2021. Because the dose is adjustable.

So I was very aware of my osteoporosis before my osteoporotic fractures and well aware of how to move. But for complicated reasons, I was not medicated- at all- despite my best efforts (I even went to an immunologist to try to get on Forteo).

My post wasn't really about myself. My point was simple: don't wait for fractures. People may feel strong and not be strong! I don't want others to go through what I have gone through. It is just so hard to accept side effects until you have fractured.

I included the opinion in my last post that insurance needs to approve anabolics before anti-resorptives since the latter can affect the effectiveness of the former. I am not sure but I think the insurance criteria for anabolics may be failing at two drugs, and/or serious DEXA/fractures.

ps when people talk about spinal fractures "healing" I am just not sure what that means. Vertebrae don't "heal" the way an arm break does. They stabilize, which is termed "healing," but the spinal distortion, pain and disability remains. Tymlos has made me a lot stronger but I will be grateful to have scores below -3 if ever possible. I accept my pain but hope others avoid it.