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Prescribed Tymlos after Evenity

Osteoporosis & Bone Health | Last Active: Nov 28 3:36am | Replies (43)

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@windyshores

@hollygs I am finding that some doctors just don't want us to do anything that hasn't been studied thoroughly and Evenity is so new (approved 2019) that studies are lagging behind our need for answers.

I was originally told the reason not to do Tymlos after Evenity (okay the other way around) was because Evenity "turbocharges" bone growth so there is little left for Tymlos to do. This no longer makes sense to me since many of us need more bone growth after the one year on Evenity.

My doctor is pretty renowned in the field and will not use Prolia, at least unless absolutely necesssary or a person is 85+.

The thing about Fosamax is that it reduces the effectiveness of Forteo, Tymlos and Evenity.

Can you get back on the plan you were on so you can still see the same doctor? Can you ask him or her directly about effectiveness of Tymlos after Evenity? Evenity inhibits sclerostin and takes a little while to mineralize- my doctor's words exactly. Tymlos works through the parathyroid. Since their mechanism is so different I am very curious why Tymlos cannot be taken after Evenity,. Please let us know what you found out!

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Replies to "@hollygs I am finding that some doctors just don't want us to do anything that hasn't..."

@windyshores Thank you so much for your reply. To answer your question, changing my insurance plan won't help as the doctor who prescribed Tymlos doesn't take Medicare at all. I will contact his office today to find out what private pay will cost. I can also contact the infusion center where I received Evenity as they accept my insurance and find out if any of their affiliated doctors are familiar with using Tymlos after Evenity. The concern regarding doing so is that patients will have an increased risk of osteonecrosis/osteosarcoma, but that is conjecture as there aren't any studies available. I will certainly let you know what I find out!