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Starting FORTEO tomorrow and so nervous.
Osteoporosis & Bone Health | Last Active: Mar 4 2:26pm | Replies (127)Comment receiving replies
I have been told there is no use doing Tymlos or Forteo after Evenity because there is little left to do. Also, Evenity is more anti-resorptive in later months so I wonder if it affects effectiveness. Basically I have been told is you can do Evenity after Tymlos or Forteo but not the other way around.
As for Tymlos or Forteo or Evenity after a break from bisphosphonates, I have been told that is possible but there is a reduction in effectiveness. I read 50% reduction in effect in hip and 40% in spine but I have seen numbers all over the place.
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@windyshores this is good to know! Thank you! The right sequecing as you pointed out makes sense!
There will be times, however, for some patients who need anabolic therapy after a course of bisphosphonate. A reduced effect is still good and may well keep fracture at bay.