@rola your spine is slightly worse than hip, though the difference is probably not clinically significant. Tymlos is good for spine. You could do Tymlos for two years and by that time it may be more mainstream to do Evenity afterward. I had to convince my doc.

My idea was to do Evenity for just a few months, when it is a strong bone builder and before it becomes more of an anti-resorptive, so I wanted to do it after Tymlos, do a few months, then switch to Reclast. My doc told me I am creating my own protocol. Luckily both my endos don't mind but I am kind of a special case with lots of fractures and several health conditions and sensitivities.

Anyway I recently read something interesting: that in the future short courses of Evenity might be used to build bone, between other meds. That is kind of what I had in mind.

Tymlos is not an anti-resorptive and builds quality bone. That is why I chose it. Evenity is both an anabolic (first half) and anti-resorptive (second half). My reasoning, not yet checked with doc, is that if I am going to do an anti-resorptive after Tymlos it might as well be Reclast, which "locks in gains." So I will stop Evenity and switch at some point. Yes this is unusual. Yes my doc has not prescribed this protocol as yet. This strategy is more appealing to me because I am having side effects with Evenity, and I will ask to switch to Reclast on that basis alone.

The science of all this is very complex and I am not trained to interpret studies, though I read them. I want to emphasize that everything I do is obviously sanctioned by docs, since they prescribe, and that I discuss things fully with them. In other words I am not a rogue patient but probably a difficult one!