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@guinivere you might need a bone builder: Tymlos, Forteo or Evenity. (McCormick will probably suggest this, but let us know.) I believe that with those scores, and a fracture already, insurance will cover. You can discuss with your doctor and ask them to authorize if this is the path you choose.
Of those three, some docs are starting with Evenity but I did 2 years Tymlos before trying Evenity, because Tymlos has an adjustable dose and I am sensitive to meds. I had excellent gains on Tymlos, with scores like yours going down to borderline.
I hope you never have to adhere to some timeline or deadline that you are given to make a decision. Doctors may give us a deadline so they can arrange treatment, or out of concern, but within reason we can take our time, I think.
Replies to "@guinivere you might need a bone builder: Tymlos, Forteo or Evenity. (McCormick will probably suggest this,..."
@guinivere Did you already have a fracture?
Agree that you do not have to adhere to your doctor's timeline. This is YOUR decision and it takes some time to process it. It may be time to find another MD and I know that isn't easy these days.
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Guinivere, tell your doctor that Fosamax is too slow, Prolia is too dangerous and with your numbers you need an anabolic.
Of course, you don't have to decide today, but your doctor is afraid you might fracture. It's good that the office called you right away and good that she is concerned.
Windyshores gives the best advice and has the most experience. I would cross off Evenity, but it's better than the two you are offered.
You should call them so they can get started in case there is a slow-down with insurance.