@jabjune that is a pretty serious DEXA score as you know. Was that spine or hip?

If you are nervous you could try Tymlos which is very similar to Forteo but has an adjustable dosing pen so you can start low and ramp up if you are nervous.

Many seem to do fine with Evenity which has been said to "turbocharge" growth. I had side effects for 4 days and will be fine until my next injection. I did Evenity after Tymlos to get more progress but you can't do it the other way around.

Many of us are "locking in" gains with Reclast, an infused bisphosphonate that may allow us to stop meds or take med breaks, unlike Prolia.