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I'd wish that the Tymlos had arrived on time. I'm not as happy about Evenity, though it works well for many. You may know that Evenity works by blocking sclerostin which may be why it causes bone and joint pain for some. https://pmc.ncbi.nlm.nih.gov/articles/PMC8431516/
It's my opinion that the parathyroid medications Tymlos and Forteo build the best bone. They aren't the fastest, but are the most integrated and the most resilient bone. There is speculation that one of these two pharmaceuticals should be used as primary bone builders and the others as maintenance drugs.
The other oft repeated advice is that the parathyroid medications work by remaining in your system a very short time. Consequently, if you were to experience side effects they would be of short duration when you quit the drug. I read that Evenity's clearance is 64 to 68 days except that it can set in motion effect as with those arthritic mice above. Reclasts effects can last for years and by the time you recover, you can be pretty deconditioned. There is always the bigger chance that you won't have adverse reactions.
I don't know if any of this is helpful at all. I do wish your bones the best and am happy to field any questions.
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Dear @gently, Thank you so much for very kind and enormously helpful reply! The information that Evenity will stay in my system for more than 2 months was exactly what I needed to know. Many years ago, my GP gave me a free sample of once-a-month Boniva pill. The night I took it, I had a fever with severe joint pain all over my body, and the middle joint of my left hand middle finger fused overnight. My body hurt for weeks. This was especially traumatic since I'm a pianist who teaches and used to perform. My GP dismissed this as a "flu," but I've been afraid of osteoporosis meds in general ever since.
My current endocrinologist is similarly dismissive of my concerns about side-effects. As you mentioned, the fact that Tymlos was a daily med appealed to me, since I could quit at the first sign of adverse effects. But I'm not willing to pay such an exorbitant co-pay ($1,000 each for the first 2 months) for a med that may go bad due to irresponsible shipping.
At this point, I may take my chances on broken bones and forego osteoporosis meds altogether.
My apologies for this long-winded reply. Thank you for reading it, and thank you again for your kind response. It was very, very helpful.