I have done both Tymlos and teriparatide (generic Forteo) after five years of alendronate. I was referred to a rheumatologist after fracturing on Alendronate. My spinal t-scores were never in the osteoporotic range.

I was on Tymlos for 4.5 months then switched to Forteo as my commercial insurance would not longer cover Tymlos.

I much prefer the Forteo as I have fewer side effects. I thought I was tolerating the Tymlos ok but now that I am on Forteo, it’s clear that it was impacting me in several ways more so than Forteo.

I haven’t been on either for long enough to see an outcome (6 months) but it’s been 13 months and I haven’t fractured again.

Is it possible for you to get another opinion on your long term treatment? I am 63 and also active and realize now that I really need the best plan for me for the rest of my life. I plan to have a discussion with my rheumatologist about that soon as she has not discussed what comes next at all. I also have an appointment with an endocrinologist specializing in osteoporosis in April to discuss the same. My insurance company allows me to see any specialist I want as long as my PCP submits a referral to the specialist.

I’d still see someone even if insurance wouldn’t pay as this is too important for me to get wrong. I am still working and planning an active retirement and want to ensure I am as healthy as possible and ensuring my osteoporosis is treated appropriately for me is critical.

Wishing you all the best and hoping you can find a doctor to work with you on this,