Hi there.
It is hard for me to say what is causing your symptoms based on the limited information and the presence of multiple factors that could be contributing to your condition.
Since you have a history of TMS and have gotten it under control in the past, it is likely that there is some psychogenic component at play here. Keep working on addressing your fear and your emotions because that is something that is healthy for you both physically and psychologically.
Osteoporosis is a legitimate condition so my best advice would be to consult further with your treating physician about the potential side effects of the medication. Be upfront about your tendency to develop psychogenic symptoms and try to work with your physician collaboratively to rule out any structural causes.
If you feel like you need further medical help to distinguish which symptoms are TMS and which are not, consult with a TMS doctor to get a second opinion.
It is important to be thorough in ruling out structural causes and to not ever assume that something is TMS without doing your due diligence and consulting the right professionals.
I hope that you are able to find some clarity regarding your symptoms.
Best of luck.
-Derek
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