@sunny65 It sounds like you've been very proactive about your care, and that's wonderful! I was put on Fosamax after Evenity by a new-to-me endo, but I had been told by my previous metabolic bone specialist that he would put me on Tymlos after Evenity. I switched back to him and started Tymlos 6 months after stopping Evenity. This delay was because it took a while to see the doctor and then to have Tymlos approved by my insurance. I responded well to Evenity and my T score went from - 4.5 to - 3.2. I won't know anything about how the Tymlos worked until my next DTX, and even then everything is relative and long-term improvement is the goal. I have read that the usual interval after Evenity is 4 weeks, but I have not heard that from a medical proessional so am not sure. Your labs and a new DTX will inform your doctor about your response to Evenity. You are correct, there is very little information available about the use of Tymlos after Evenity. As I previously mentioned on this thread, I contacted the manufacturers of both drugs and was told that currently there are no studies available about the Evenity >>Tymlos sequence. I will say that at a certain point, I was extremely stressed out about all of this. I had a painful spinal fracture, multiple rib fractures, bone marrow edema and fractures in one foot and other conditions. I could barely get around and yet I was going from doctor to doctor to labs, radiology, PT, OT and so
on. Finally, one day I paused and realized that the stress was making me worse. I could barely function, I was exhausted and I couldn't do all of this. I decided to eliminate stress, and relax as much as possible. I took a break from all the medical stuff except getting the Evenity once a month, listened to music, meditated and focused on positive things and eventually I was calm, not overwhelmed and better able to proceed with my life. I hope you will gift yourself compassion and kindness. You're handling an awful lot, and you've been very strong. You don't need to carry it all the time.