@awfultruth the problem is that research hasn't caught up with this idea. My doctors didn't even want me to do Evenity after Tymlos at all- just Reclast- and McCormick didn't suggest it either. Doing more than one year of Evenity has not been studied either. I am not afraid of cardiovascular effects but sclerostin has functions throughout the body.

This is moot for me because with GERD/reflux I cannot take risendronate or alendronate. McCormick did tell me risendronate is the weakest bisphosphonate (so should not be used after Prolia).

Tymlos isn't approved for a second year either. I only did 4 months Evenity so I still have 8 more to go. So another idea that has been mentioned in articles is to do short bursts of Evenity since the first months are the most bone-building. I could do 4 months again, two times. But will my doctor okay that/ Research is ongoing. He tends to wait for results. Good luck with negotiating and let us know!