Hi @hollygs the treatment sequence of evenity then tymlos (or forteo) is very rare, although not unheard of. One of my online acquaintances is doing just that currently but dxa not due yet. I read another case online. S/he had a nice gains after evenity --> forteo although different dxa machines were used. Like @windyshores mentioned, clinical studies do not appear to be available for this particular sequence yet. For the time being doctors have to rely on their clinical experiences and judgements, or sometimes use most updated case reports from either their colleagues or publications to make a decision. Hope everything will work out smoothly for you.