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Osteoporosis & Bone Health | Last Active: May 22 8:02pm | Replies (58)

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@babs10

@gently, "The markers say that you are maintaining the bone density you now have. If your bone density is low you are maintaining that low bone density" helped so much.

I have discordance btw my hip at -3.5 and my osteopenic spine and the hip is a challenge to target. My impression is it's hard even with meds (recently watched a presentation where the MDs said teriparatide can even make it worse) so I'm in a quandry. The whole purpose of meds is not to fracture so I'm sure I'll end up taking something or other. Tymlos is like Forteo and I don't think I can take Evenity. Sometimes, I want to curl up into a ball forever.

Thank you again for your help. < 3

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Replies to "@gently, "The markers say that you are maintaining the bone density you now have. If your..."

@babs10 I have been told Tymlos is better than Forteo in terms of bone density gain. And I was also told Evenity could help hip. (My hip gained 9% on Tymlos, going from -3.3 to -2.9. Spine gained 20%. Femur neck is still a problem, went from -4.1 to -3.6). I followed with 4 months of Evenity to target the hip and femur neck but haven't had a DEXA.

Babs10, I know that feeling. It's a warning that you are getting ready to roll.

I'm familiar with the idea that Tymlos is more effective at raising dxa bone density numbers for both hip and femur than Forteo. Greater porosity with Forteo may reflect greater resilience. Lower density in cortical bone can yield on impact rather than break.
I'm curious about the concept that teripartide can make osteoporosis worse. I think the MDs in the video (I haven't seen) meant geater porosity so less density with Forteo compared to Tymlos. Density and strength are not the same measurement.
Patients can lose bone density while on Forteo because of unresolved cause ( like hyperparathyroidism), when medical providers fail to screen for secondary causes of osteoporosis.