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← Return to Forteo after Tymlos?
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You are very lucky to have such a conscientious doc. I have an endo and a rheumatologist, and neither has ever mentioned bone markers or suggested checking how well a drug was working after I started it. They rely simply on DEXA results... useless if you've just about finished a time-limited course of medication. Glad to know about this and will be checking in the future!
BTW, my endo is pushing me to use Prolia after the Tymlos. When I questioned her about increased fracture risk if Prolia is discontinued, she said yes, absolutely, but I'd start a bisphosphinate (likely Reclast) if I had to stop the Prolia. Is your doc suggesting a bisphosphinate after Tymlos primarily because you don't want to take Prolia?
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Actually, my endocrinologist said she did not recommend Prolia because of the rebound when you stop using it (as you pointed out, the increased fracture risk). Hence, the only option seems to be bisphosphonates of one kind or another. Somewhere I posted a survey I found showing that cases of jaw necrosis occurred (in the sample the researchers looked at) 2 or more years after starting Reclast, but 6 or more years after starting Fosamax. So I wanted to do Fosamax. My endocrinologist said that she was fine with that, but did point out that Fosamax is not as fully absorbed as Reclast (which I guess is why docs these days regularly recommend Reclast). So I was thinking of doing Reclast for one year, and then Fosamax the following year. We'll see. I'll also talk with my rheumatologist in June.
A part of me is hoping they come up with a better medication by the time I have to end Tymlos!! 🙂