@bktexas it is really impossible to say which is better for you. I did Tymlos first and then 4 months of Evenity, then Reclast and hope to go back on an anabolic.

One thing I will say is that personally I would not base this decision on daily vs monthly injections. The Tymlos injections are really easy, done with a pen, and one advantage is that the medicine is out of your body in hours. Evenity tends to peak in a week or so and stays in your body for two months, according to what folks have posted here and Dr. Google.

The Tymlos pen has adjustable doses so a lot of us have tried a full dose and then backed down to a lower dose and slowly moved up, because the body adjusts.

Bottom line is that no matter what you choose, excellent improvements are likely.

My doctor wasn't keen on me doing Evenity after Tymlos because he said "there is no data" but quite a few people are doing that. Generally people don't do Tymlos after Evenity (see Dr. Ben Leder's videos, McCormick's book "Great Bones") as evidenced as well in this forum.

My friend just went from -4.1 to -2.5 for spine on Evenity. I went from -3.7 to -2.6 on Tymlos. I also gained 9% in hip on Tymlos.