I looked at the actual images of my recent DEXA because I was concerned the 19% gain in my spine after 18 months of Tymlos (6-7 out of 8 clicks) was elevated due to fractures. Looks like the gain was only affected 0.1 by the fractures. Here are details for the only lumbar vertebrae I have not fractured:2021 L3 -3.8 and 2023 L3 -2.72021 L4 -3.9 and 2023 L4 -2.6This is pretty impressive!The L2 vertebra that was fractured in 2021 before the DEXA but not fully healed came in at -2.8 in 2021 and-1.6 in 2023, probably elevated by the fracture itself. Arthritis can also have an effect apparently.The total lumbar score for L1-4 went from -3.7 to -2.5 but that includes L2.My hip scores:2021 left femur -3.3 2023 left femur -2.92021 L. femur neck -4.1 2023 L. femur neck -3.6(there is a note that femur neck is unreliable to measure change; also that joint is somewhat eroded with arthritis)I am trying to decide what to do now and appreciate feedback. My doc wants to to a 20% dose of Reclast to see how I do, followed by larger dose in 3 months. I am interested in following up with Evenity and am going to get a second opinion. With 7 fractures total, I am extremely vulnerable to more and would like to get my bone density up even more before "locking in gains."My concern is that if my doc is saving Evenity for later, it won't work as well after Reclast. I need to ask about that. Anyone with experience in this?