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Need Advice - What drug to Follow Up Evenity
Osteoporosis & Bone Health | Last Active: Aug 5 10:48pm | Replies (53)Comment receiving replies
Thank you for responding. I watched one of your videos last night. I’ve only have one DXA scan.
DXA SCAN T-scores 12/28/22
Lumbar Spine -2.5
Left Hip -3.0
Right Hip -3.1
I’m due for another. This may be a foolish choice, but I want one with TBS. I have an appointment July 3rd. I can get a regular one sooner.
I broke my shoulder 1/19/2022. My Orthopedic surgeon pointed out on my X-rays that my “bones were thin.” Six months later, after I started Evenity and HRT, there was a visual dramatic difference on the X-rays.
I suspect my bone quality is good. Just before I was officially diagnosed, I bought a yearling horse. He has knocked me down 5 times and stepped on my leg twice. I’m fine. Horse is in training now.
Replies to "Thank you for responding. I watched one of your videos last night. I’ve only have one..."
@prehorselover Ideally we should have DXA scans before and after each year of treatment with a osteoporosis med. I realize there are insurance and money and availability issues but if possible that's what we should all do, imo. If you go from one drug to the next without knowing what the first drug did for you it will be virtually impossible to know what effect you got from each drug. If you do not know that you will not be able to know for sure what to do in the future. For example if you take Evenity for a year you need to know whether it benefited you or not because you may want to take it again in the future. If you got no help from it the first time you would probably choose a different anabolic med in the future. Conversely if you got great benefit from it the first time you might want to take it again in the future. The same goes for all the drugs. It's crazy to take these things year after year just assuming it's working for you the same as it does "on average".
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Hi @prehorselover - Being around horses can be hazardous for sure. Be careful 🙂
Good to hear your X-rays indicate some positive bone building. If all went well, you are likely out of the osteoporosis range for the hip and for sure the spine. That said, you want to move soon to your next medication to keep the gains you have made.
If you could be a DXA scan done in the next week or so, that would be best to confirm your Evenity results. Without knowing your current T-scores, I would guess Fosamax (alendronate) would be a good choice. Hopefully after two years, you will be able to take a break with no medication for a few years before restarting Fosamax (cycle repeat).
Don't wait too long to start your next medication. You want to lock in those gains and waiting more than a month is not wise. I started the day my treatment ended.
I think HRT is a great idea as well as most every doctor I have heard on the subject of osteoporosis. However, I'm pretty sure you can't just use HRT to lock in the Evenity gains. You still need a drug like Fosamax.
Good luck!!!
Mike