Good evening @ldj1002, Welcome.......glad to be able to greet you and perhaps relieve your mind a bit about your journey to control osteoporosis. If you don't mind, would you help me understand what borderline severity means to you? Is your diagnosis indicating Osteopenia at this point and do you want to prevent going over the hill into full-blown osteoporosis?

It may help you to know that I recently completed two years of daily Tymlos injections. My day begins at about 9:00 a.m. now that I am retired and trying to manage the reality of SFN -- small-fiber neuropathy. During that time I was also traveling a bit and had to make adjustments based on time zones and flying schedules.

I can assure you that I never had any evidence of side effects with Tymlos. I chose Tymlos more for its affordability when compared to Forteo. The other bone builder, Evenity, was just being introduced. My first experience was with ibandronate (Boniva) a bisphosphonate. My joints and jaws complained unmercifully. I was glad to find Tymlos acceptable without any headaches or dizziness.

Regarding the mention about time to take the medication........I understand. However, I have yet to know of anyone who has made that decision. Perhaps you should see how it goes and then work on the timing with your endocrinologist or other medical specialist.

Good luck to you and I hope everything goes well. Please let me know your decision. I am very interested in following your efforts to preserve your bones.

May you be safe, protected and free from inner and outer harm.
Chris