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Thank you both. My doc didn't mention this part of the story when prescribing Evenity.
I was on Fossomax for 4 years, after 2 I showed DEXA gains, and then after 2 more, showed loss even though my labs were good. Now, I wonder if the DEXA was accurate as I have read it isn't always for very small, thin women. I wish I would have asked for a repeat DEXA, even paying out of pocket. But, I will have had 3 doses of Evenity, so at this point, a DEXA might reflect some Evenity gains and it would be hard to sort out.

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Replies to "Thank you both. My doc didn't mention this part of the story when prescribing Evenity. I..."

I had the same experience with Fosamax. During the first two years I had significant gains in my T-scores but then they started going down again. My current endocrinologist told me this was because the drug stopped working. I found that interesting but neglected to ask her why.

Make sure you are getting a DEXA scan with a TBS score. That is the only one that measures apples to apples year after year. I had DEXA scans every year for 25 years and one of the last ones had me out of osteoporosis out of osteopenia and with regular numbers. Then I had cervical spine surgery and my C5 fell apart in the doctors hands. Turns out bones around your body can have different Strengths or weaknesses, and it turns out that the DEXA scans are general and machines are not calibrated for the accuracy which may be required. However, the DEXA scans with TBS score are calibrated so that you can have comparative tests from year to year.