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@windyshores

To be honest, if your endo suggests Tymlos after Prolia I would get another endo!

I forgot you did Evenity after Tymlos (like me). To get more time on treatment I wonder if you could do one injection of Prolia then Evenity then bisphosphonate (Not medical advice here, just wondering). It seems as if you will have to be on a bisphosphonate at some point but extending the time on treatment is what we all want if we have serious osteoporosis.

I was just watching a video on Osteoboston with Dr. Wein (?) and the risk for jaw necrosis and atypical femur fracture might still be low if you did another year. Check with pharmacist or doctor?

This is what really gets me. Noone knows how to keep us okay long term!

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Replies to "To be honest, if your endo suggests Tymlos after Prolia I would get another endo! I..."

Let me see if I understand...

Tymlos/Forteo build bone density. But, you can only take them for a limited time. If you still need/want to build more bone density after that, then you need to continue with another drug, like Prolia or Evenity. There's a big rebound risk with Prolia, so idealy you don't want to be on it too long, and preferably you can avoid it altogether?

Then, you need something like Reclast or Fosamax to lock in gains that would otherwise be lost?

Is there a point where you can stop taking meds, depending on what DEXA result the doctor deems acceptable to live with?

You say:“extending the time on treatment is what we all want if we have serious osteoporosis”

Question: If you get to DEXA -1 to -1.5 you’ll have to stop and try something to keep gains.

What’s the course of action in that case?

cc