@sallyj2 I defer to @gently and their response for them. Just want to say that Forteo and Tymlos are similar in they way they work (through the parathyroid). I found a graph that gave a slight edge to Tymlos but very slight.

Everyone reacts differently to meds. I could not tolerate Forteo even at a reduced dose. I could tolerate Tymlos, so that is what I took. Your reaction to Forteo may be more similar to that of @gently .

Bottom line, unlike other decisions, I don't think there is much of a consequence of choosing one over the other. Evenity on the other hand, works differently, by reducing sclerostin.