What should I know before starting Evenity?
Sept 4th, 2024
EVENITY
Like many of you, I have started from shock, to fearfulness to being
apprehensive what medication to take for severe osteo.
My numbers are L -5.2 hips -3.6 and -4.0
I hoped to be able to improve the numbers with diet and exercise.
Eventually I realized that it might be possible with osteopenia
but probably not with severe osteoporosis. Dr Beck
Onero program is not available in Vancouver, yet.
I am trying to learn hip hinge and squats
eventually I will find a a physical therapist/kinesiologist
with osteoporosis experience.
I do the stairs as often as I can, increasing how many times:
until hopefully add ankle weights.
My threadmill speed is 2.2mph..the goal is to increase every few weeks:
method: increase, count 24 seconds - go back to starting baseline – several times:
the goal is 2.5mph which is maintenance: and the larger goal is 3.1mph
which is osteogenic.
Diet: aside from the calcium and and Vit D: am looking into natural
sources of Vit K (Natto is not something I could consume regularly).
and have 5-6 prunes daily.
So…have finally made the decision to go with Evenity, if approved.
Have not used anything in the past: anabolic or anti resorptive.
Thank you for ladies from Canada for mentioning CTX. It is available
in Vancouver (sorry I didn’t mark down names) P1NP and TBS is not available.
Neither is REMS. I got a CTX – which we pay out of pocket here, so is
Vit D out of pocket unless it’s requested by a specialist. And TBS is
not available either. My CTX was in the 500.
Would be glad to hear comments, or shared stories.
Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.
Could not agree more!
😆 too funny!
Yes, Dr. Google will steal your time and stress you.
Have a good nite.
Hello @rola
Because you say you enjoy Dr MCormick, I found
some in my files:
maybe you have not seen,
one is with Dr McCormick and Irma Jennings who is a Bone Health Coach
the other video is Dr McCormick with Kathy Biase Canada (I think it's audio only)
I thought I had posted conversations with Dr McCormick
that some might not have seen.
@rola hope you saw it:
as you mentioned particularly enjoying Dr. M
so I am posting it again,
because it seems to have disappeared, or I posted it wrong,
if the links don't work,
just put in the titles, as in Dr McCormick and Irma Jennings
or Dr McCormick and Kathy Biase Canada
Thank you so much. 🥰 I find him soothing to listen and so comforting. The last video posted in here, he was so encouraging, sort of puts it all into perspective.
THANK YOU!!! I look forward to watching these.
I am 66 years old and have been on Reclast for two years with some improvement in my scores, although the second year my spine score went down. My endocrinologist at Mayo Clinic discussed Evenity and Tymlos and I think I am going to try Evenity since it is one year and convenient to go once a month to the clinic to get the injections. I had concerns about the black box warnings regarding heart attack and stroke, but she reassured me that she has not heard of anyone experiencing this. I also have an appointment with my cardiologist to see what he says before I start. I don’t know what else to do and yes, I’m very nervous about taking this drug, but I know it’s supposed to give me big gains in my spine where I need it the most. Any additional advice?
@maieva I consulted with 2 cardiologists and they had no idea about Evenity vs Tymlos. One googled exactly what I had googled and tried to give the info to me as medical advice.
Reclast is an anti-resorptive and Evenity is too for part of the time. Tymlos is not, and actually raises both P1NP (bone growth) and CTX (bone resorption).
Since Reclast can affect the effectiveness of both medications, I would be most concerned about which one is the least affected and therefore the most effective in your situation.
Does your doctor do the bone markers P1NP and CTX?
I did Tymlos then Evenity (4 months) then Reclast. Tymlos gave me dramatic gains in my spine and the self-injection was easier for me than going in for an injection at the hospital.
Hello @windyshores , I’ve mentioned to you about my debilitating back pain and fractures in my spine. I know you were in a lot of back pain too. I had my 4th Evenity shot a couple days ago. It was unusually painful and my back pain increased significantly. Today I started having very strange pain on both sides of my middle back. Not sure if this is related to fractures or muscle pain. Have you ever experienced pain traveling from lower to middle and to the sides of your back? What medication you used for pain? I was on Tramadol but stopped working. My pain doctor suggested to try nerve ablation L5, L4,L3 and also to try muscle relaxers.I hoping you can give me some advice I am new to this and don’t know what to do. My endocrinologist bagging me to stay on Evenity. I did blood test for CTX it went from 647 to 332. She thinks this is a good sign. I am not sure why I feel worse.
Thank you for your suggestions. I had no idea that you could do two different drugs. I am 7 months into Evenity injections. Do you know if I it's possible to do Tymlos after? You got remarkable results. I'm in a similar situation - fracture of the T12
@sunny65 are you the one who wrote me about fractures? I started to respond and then lost it....
After fractures the muscles are dealing with a shorter spine and I think of them as confused! After the fracture stabilizes, a lot of the pain is from muscles. I have baclofen and clonazepam but use them sparingly. I did PT massage- I was lucky to find a good one. Tai chi helps.
Evenity side effects for me were neurological (sensations). Dr. McCormick told me that 40% of his patients on Evenity have joint pain. You can read about the role of sclerostin (which Evenity inhibits) in joints and throughout the body. But people seem to have a lot of improvement on it.
Ask your doctor (or read "Great Bones' by McCormick and watch Dr. Ben Leder's You tube video "Combining and Sequential Approaches to Osteoporosis" about whether the 4 months you have done means the anabolic bone growing phase is over. There is a study using Reclast after 6 months of Evenity vs 12 months of Evenity because after 6 months Evenity, like Reclast, is anti-resorptive. So maybe it is okay to stop at 6 months! I hope your doctor can answer that.
@missy61 People don't seem to do Tymlos after Evenity that much but you could ask. Some do Prolia (preferably 1-3 shots) and then Reclast. Maybe you will do well enough on Evenity that you can just go on the "Lock in" with Reclast.
My fractures are T4, T6, T11, T12 (from a traumatic fall 2006), then L1, L2, L4 (from an unwise movement). Not fun.