Hello, and welcome.
My last DEXA was at -4.3. I have a history of all five lumbar vertebrae fractured, as well as other fractures at T-10,11 & 12. My endocrinologist told me that I am, most definitely, not a candidate for a weighted vest. She explained that they may be beneficial for people with osteopenia and mild osteoporosis, but with moderate to severe osteoporosis and fracture history, the added burden could produce more fractures. Instead, she recommended walking as much as I can and going up and down the stairs (I live in a 2-story townhouse), stomping my feet. Apparently, the low impact of stomping stimulates bone building. If the stairs are not an option, you can sit down and stomp your feet, as if you were trying to crush a can of soda, alternating three or four stomps, per foot.

I am one of the many for whom Windyshores saved the treatment with Tymlos. I would have never tolerated starting on the full 8 clicks (at 12 weeks, I am still at 6), and would have had to discontinue treatment altogether.
I started out at 3 clicks and moved up a click every week. Seven was too harsh, and I had to skip a day, go back to five for a couple of days, and then up to six. I am comfortable at six: Only nausea for a couple of hours after the shot (used to be all day), and occasional leg cramps that, fortunately, go away laying my foot flat on the floor for a minute and walking around a little.

I am going to try 7 clicks at some point, because I do want to get the most out of this treatment, and I'd rather endure some side effects than go through another fracture. The key has been keeping track of my doses and side effects to observe what works. Also, the time of day for taking the shot. I started out in the morning. Moved to evenings, because some people in this group commented that they felt less effects, maybe because they were during their sleep. Didn't work very well for me. I am now doing it at 3:00 p. m. and trying to be active after the shot. For some reason, side effects last less when I'm active. Not what my body would want. I used to lie down, trying to ease the nausea, but it didn't work for me. I now eat oranges and walk around, and it goes away faster. I guess each person has to look for what works for them since we are all different. My motto in this is: "Whatever works!".