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@gently

helenrose,
Evenity is a newer drug, more heavily advertised, with a black box for cardiac issues. The bone expert is right that it adds bone more quickly. The bone it adds is surface bone somewhat like a scaffold. Evenity doesn't remodel bone.
Forteo and Tymlos are the two medications that remodel bone. They remove bone that is fissured or damaged and replace it with fresh bone. Neither of these medications have a black box warning attached for health.
And any of these drug can cause miserable side effects. Forteo would be the safest for you in regard to side effects, because you already took it 25 years ago.
Doctors prescribe because of what they've seen and what they haven't see; heard and haven't heard. Right now they are hearing a lot about Evenity--the newest tool in the box. My own doctor has just been offered a speaking engagement with Amgen, and will, no doubt, be prescribing it more often.
Cost and ease of use can also factor in as Medicare pays for Evenity under part B.
I'm on my third year of Forteo. It has been a wonderful drug for me.
Bless your choice.

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Replies to "helenrose, Evenity is a newer drug, more heavily advertised, with a black box for cardiac issues...."

@gently: Big Thank You for your thoughts and explanations of Evenity and Forteo!!! This info is so helpful to my research on Osteoporosis Drugs… just in case my recent DEXA scan shows Osteoporosis progression. Last appt Dr talked about Prolia and from what I have learned from this blog is to Stay Away from Prolia. Thank you so much for sharing your expertise!

Thanks so much. My doc had said I would be on forteo for a year. I could ask her about longer. Is this third year your last year on forteo?

It sounds like Forteo works well for you. I'm due to start in about a months time after some blood tests. I'm scared of the side effects - did you have any when you started? Thanks for giving me hope that it might work for me too 🙂