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Advice about Osteoporosis treatment

Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (8)

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@gently

hi deborahla, in your situation I would take Tymlos for two years and skip the Prolia. Evenity is easier (provided you don't have adverse reactions) but Tymlos creates the strongest most integrated bone. Prolia is tricky because you may not be able to take it for the rest of your life. There is the risk of osteonecrosis of the jaw, and the risk of atypical femur fracture. There isn't a good way of stopping Prolia I think it best to start with a medication that remodels bone (Tymlos or Forteo) and follow with an antiresorptive, Is the lowest score in the spine or in the hips.

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Replies to "hi deborahla, in your situation I would take Tymlos for two years and skip the Prolia...."

Thank you to all who commented.
To @gently, My Lumbar spine T score is -3.8. The T score of the left femur was -3.8 and right femur -3.5.

To @njx58: I live in Nashville, TN and Vanderbilt is the teaching hospital and the one with best reputation. For some reason osteoporosis is treated by a Rheumatology doctor there instead of Endocrinology (my Doctor was a Vanderbilt physician). Thank you for the link. I have watched Dr. Leder and it was helpful.

To@windyshores: Thank you for the link. I have watched it and it is excellent. I am going to do further research but will appreciate any further suggestions on this forum and will ask more specific questions as I come up with them.