I am going to insist that my primary doctor order another Dexa for me when I see him at the end of April for my yearly physical. My last one was back in August, and since I am newly into menopause and took a drop down from osteopenia to osteoporosis in the two years leading up to menopause, I want to make sure it is not getting worse. If nothing has changed, then I will still go ahead and send all my records to Dr. McCormick to get his opinion. My feeling is that if I went on anything, I would want to start with Tymlos very slowly and ramp up as you did, since I tend to react so strongly to medications. From what you had said though, insurance might not be willing to pay for it. I really question going on a bisphosphonate first, and that seems to be what they want to push you into. Any advice if I have to argue for a bone builder right away?