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Undecided choice of drugs for Osteoporosis
Osteoporosis & Bone Health | Last Active: 10 hours ago | Replies (363)Comment receiving replies
@nwyatt I think you can take Forteo after Evenity but I was told that since Evenity "turbocharges" bone density, there isn't much left for Forteo to do. I would bet that there is not yet enough research on this.
My doc wanted me to do Reclast after Tymlos and save Evenity for later. But using Fosamax or Reclast makes later bone builders about 1/3 less effective, according to Dr. Leder's video on YouTube on Combinations and Sequencing.
So even though there is no data on Evenity after Forteo or Tymlos either, I am essentially a guinea pig for my doc's practice. Just one guinea pig but the first!
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Markers for bone building cells rise for one month after Evenity before falling back to baseline. Markers for acid secreting cells increase for up to twelve months. It makes sense to take Forteo or Tymlos beginning a month after Evenity, because these drugs raise the level of declining osteoblasts. I like six months of Forteo before a bisphosphonate.