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← Return to disappointing results: would you continue or skip 2nd year of tymlos?
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disappointing results: would you continue or skip 2nd year of tymlos?
Osteoporosis & Bone Health | Last Active: Feb 6 9:16am | Replies (23)Comment receiving replies
@mayblin Thanks for your insights and windyshore's as well! I do greatly appreciate you both responding.
Based upon my last conversation with my doc, he's firmly in camp of doing the full 2 years. But this was BEFORE my 1 year DXA results. Curious if this will alter his thinking when I see him soon.
Yes...I have been debating next steps if stopping. A Bisphosphonate would only maintain the little I gained. I was hoping to keep Evenity in reserve as an option for AFTER full 2 years of another bone-builder - vs use it up too soon, if that makes sense?
I wonder if switching to Forteo for 6 mon-1 yr might be the fresh "shot" my body needs- no pun intended 🙂 to improve hip density, since F seems to do better on hips than T? Would have to ask doc about any risks switching midstream.
To be fair, for all I know Tymlos DID stop further loss, so don't want to do anything dumb, just because results aren't as good as I hoped. Just feeling really discouraged.
I did get TBS scores last year before starting Tymlos and again 1 year later (from the same machine.) I just don't understand what they mean or how to interpret them. I need to google and see if I can figure that out.
Replies to "@mayblin Thanks for your insights and windyshore's as well! I do greatly appreciate you both responding...."
Both Forteo and Tymlos are believed to work by a very similar mechanism. I would guess that if you want to see bigger gains you might try Evenity as it does work by a completely different mechanism. I tend to think switching to Forteo would be like continuing Tymlos for the 2nd year. "Teriparatide (brand name Forteo) and abaloparatide (brand name Tymlos) are medications used to treat osteoporosis. Forteo is a lab-made version of human parathyroid hormone (PTH) and Tymlos is a version of human parathyroid hormone-protein. These two drugs are both similar to the PTH that your body produces naturally."
And yet you never know for sure, even though Tymlos and Forteo are similar you might get a different and improved response to Forteo.
BTW in terms of benefiting the hip my memory of different reporting on the three anabolics is that Forteo tends to have the least benefit for the hip (and forearm) with Tymlos slightly better and Evenity better still.
Sorry you didn't get 10-15% improvement and best of luck on whatever you do next.
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From what I've read, on the contrary, t has more effects on hip than f. The two drugs are so similar in many ways, personally I don't see a lot advantages switching from t to f, especially at the stage you are in. See if others can chime in with regards to this take. As far as follow up with evenity, follow windyshore as she is a pioneer with this combo sequence. And, of course, consult with your team of physicians.
Tbs provides a bit insight to the 'quality' of one's bone, though I haven't read too much into it yet and not sure how it relates to true bone quality. Mine improved to lower end of normal, but i still have op. How does this make sense? Nonetheless, it provides some info to us. Yea Google it and see where yours land.