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Need Advice - What drug to Follow Up Evenity

Posted by prehorselover @prehorselover, May 8 5:03pm

I finished my 12th injection of Evenity on March 28th. It’s the only medication I’ve taken. Doctor recommended Prolia. I told her I would do ONE only. Then Reclast, then off drugs. My goal is to be able to ride horses for the rest of my life. I was diagnosed after I broke my shoulder. I’m 66. I suspect I have good bone quality. Started HRT.

Is that a good strategy?

Can you go from Evenity to Forteo?

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dlmdinia | @dlmdinia | May 29 8:52am
In reply to @michaellavacot "Hi @prehorselover - It's pretty difficult to put a probability of a potential break when a..." + (show)
@michaellavacot

Hi @prehorselover - It's pretty difficult to put a probability of a potential break when a horse falls on you. I assume it's pretty high regardless of your T-scores. 🙂

If I were you, I would try the alendronate + HRT for 18 months and get another DXA scan to see where you're at. I'm not sure what target you should be shooting for specifically, but if you feel it's still to low, then you could do another round of Evenity. That should really push you over the top.

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If a horse falls on you, I think you have more to worry about than broken bones. She said if she falls off the horse.

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Michael Lavacot | @michaellavacot | May 29 11:01am
In reply to @dlmdinia "If a horse falls on you, I think you have more to worry about than broken..." + (show)
@dlmdinia

If a horse falls on you, I think you have more to worry about than broken bones. She said if she falls off the horse.

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Sorry, I was being facetious. A fall from a horse can be really bad since you are so high up . Depending on how you fall and land, it would be easy to break a hip even without osteoporosis or osteopenia. All we are doing with meds is trying to lower our risk. I really don't know what the target should be here. Your doctor will likely have better guidance since they have clinical experience.

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donnaruth7 | @donnaruth7 | Aug 5 10:48pm
In reply to @prehorselover "I’ve never taken Fosamax. My orthopedic surgeon advised against it, so I went straight to Evenity...." + (show)
@prehorselover

I’ve never taken Fosamax. My orthopedic surgeon advised against it, so I went straight to Evenity.

Then I was referred to a Rheumatologist, who is very nice, but she doesn’t use tests (bone markers) recommended by the experts I follow on Social Media. She recommended Prolia and ordered it. I can start anytime after I get a blood test for Vitamin D and something else. I don’t remember.

You recommended on your video getting a CTX text. I requested that the doctor include that in the order. The assistant had never heard of CTX. I’m hoping it’s an option. Is there another text you recommend?

I’ve been worried about the delayed length of time after ending Evenity and starting Prolia or another drug. My rheumatologist said it wasn’t a problem, but I don’t fully trust her opinion. Starting immediately makes more sense. Good for you!

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I received my last Evenity injection mid February 2024. Needed a tooth extraction and an implant placed. Unfortunately the end of May 2024 I was in the hospital with colitis. During my stay I started having severe back pain. 3 weeks later I was diagnosed with another compression fracture and a sacral fracture. I had 6 compression fractions over a 5 month period the later have of 2022 which is why I started Evenity. I’m supposed to start Prolia as soon as my implant is set which is the end of this month. I’m really concerned as to how to proceed. I certainly hope you have better results than I.

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