This discussion is scaring the heck out of me. I am just about to finish my two years on Tymlos, and my doctor said I should go on Prolia next. I have severe osteoporosis and also severe and very painful lumbar stenosis; I'm 72 years old, weigh 90 pounds and guess that if I start Prolia, have trouble with it, and have to stop it, I'd be an ideal candidate for spinal fracture. As to my other drug options: I have a heart issue -- it's controlled by a pacemaker, but my doctor has ruled Evenity out nonetheless because of listed cardiac side effects. I have had density gains on the Tymlos, but I also had nausea with every shot every day, so am worried about side effects from Reclast, which I believe would be in my system long term. So I have fears about all of the three post-Tymlos treatments that were mentioned to me in my last visit to this physician.

Does anyone know if oral bisphosphinates do any good after one has been on Tymlos? Moreover, does anyone out there know of a truly good osteoporosis expert in Austin, Tx.? Or even in the Houston area? I am looking for an expert in the field. I have a multitude of autoimmune issues, already suffer a variety of drug side effects, and seriously don't want to add to the load with the wrong osteoporosis drug.