Hi @ilovetrees, You are getting such great advice and info from folks (and as always, @windyshores) - yay!

As an FYI, I am in my 10th week of taking Forteo, another anabolic (building bone) medication like Tymlos. Although each person is different, I have not had any problems with it at all. I wanted to take Tymlos instead of Forteo because it can be stored at room temp (68-77 F) after first use -- Forteo needs to be refrigerated except when you're using it. However, my HMO only has an anabolic medication partnership with Forteo and Evenity, not Tymlos. I'm dealing fine with Forteo's refrigerator factor though I do feel somewhat tethered by it.

Initially, I thought a weighted vest might help me but after reading stuff (from web, this forum, etc.), I decided against it because of a gut feeling and cost/safety reasons, and my DXA spinal T-score is better than yours, i.e., -3.6. Plus, the PT at my HMO didn't advocate purchasing it when I asked her.

Like others, I think Margaret Martin's info is helpful and it was great to find her website when I got my osteoporosis diagnosis in January. (Note: I do take her with a grain a salt when she seemingly promotes certain products that could be inappropriate, ineffective, and/or money-wasteful, depending on the person and their situation.) As an FYI, several days ago in a different thread on this forum, @ans provided info on two other PT's who also specialize in osteoporosis and offer online consultations, Dr. Sherri Betz and Sara Meeks. Joanne Fagerstrom is great too (and her online classes). Martin, Betz, Fagerstrom, and Meeks all practice safe, evidence-based PT for osteoporosis. There are other PTs specializing in osteoporosis, if you decide to see a PT.