Prolia builds density but not new bone. The density increases because it inhibits the osteoclasts from taking away old bone. If you can’t take teraparatide, then Evenity is your only bone building option. So far, results have been really good on Evenity, but it is still relatively early days for this drug. There have been some concern about it causing heart problems, but one of my endocrinologists said the studies aren’t bearing that out. My other endocrinologist says we really don’t know for sure yet.

My calcium levels remain at normal ranges with Tymlos. But I believe we are all different and react to meds differently. There are only a few bone building meds and because my numbers were so bad my doc had to appeal our insurance because they wanted me to start with Fosamax and my doc said absolutely not. Would have prolonged my bone loss. So I’m almost done with my 2-year Tymlos protocol and have increased the bone density in my spine.