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Looking ahead after Tymlos: Reclast, Evenity or HRT?
Osteoporosis & Bone Health | Last Active: Feb 6 5:21pm | Replies (59)Comment receiving replies
I'm glad your afib subsided and hope it has not returned! I think my rheumatology doc is leaning to reclast.
Unfortunately I had no bone markers done before starting Tymlos. Actually never heard of them until reading posts here. Would love to have had that knowledge before so I could've had some sort of baseline before starting any med. Wish bone markers were a required standard like dexa is....but that's another discussion.
Reading your post below I also was unaware that Tymlos or Forteo begins to wane in effectiveness before the full 2 yrs. I'm not excited about reclast as a future option as I'm not sure bisphonates really strengthen bone or just patch in random holes like spackle. Form without substance so to speak.
One would think that a disease that 10 million people have in the US would have more significant/effective treatments by now.
Thank you for your expertise!
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@psmnonna my afib had not subsided. I have episodes infrequently that are severe and expect that to continue, hopefully once a year (4 in the past year). They last a few hours.
Reclast is useful for locking in what you gained on Tymlos. Even if you don't like it for bone building, it coats the bones and maintains what you gained on anabolics. Without a bisphosphonate you will lose the density again.
Bone markers are controversial. My doctor doesn't use them and says they don't tell enough of the story of what is actually going on in bones. He said an entire conference could be held on this topic. I have gotten a few tests done by my PCP for Keith McCormick's consultation but they haven't been useful so not sure what to think.