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Prolia vs. Evenity

Osteoporosis & Bone Health | Last Active: Sep 11, 2025 | Replies (56)

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Hi, @hollygs, and funny you should mention searching "metabolic bone specialists Texas," as I did that yesterday and it turned up the usual lists of university clinics and endocrinologists but lead to no physician who is specializing in osteoporosis except for 1 endo in Houston. And I have my doubts about the degree to which she is specializing. I called her office; she won't do telemedicine with a new patient and is booked out until June 2026. I booked an appointment anyhow, just in case I need something down the road. Also tried the Osteoporosis Foundation site about a year ago, didn't get much of anywhere. But maybe I need to start telling my story when I find a possible candidate.

I woke up 4 times last night worrying about this situation. I was appalled by things my endo either didn't know (for example that people were losing bone on Reclast after Prolia and some needed multiple Reclast injections in the first year) or had no curiosity about (like current cardiac event stats for Evenity, which I'm still trying to find). Here's the big irony: my long-ago menopause doc has been Amgen's research director for both Prolia & Evenity, and while she can't treat or advise me (no longer in clinical practice, etc.), she was kind enough to offer to speak to my docs if they had questions. Neither my rheumy or my endo had any interest in talking to her. I have since messaged my cardio asking if he can find another heart guy with some knowledge/experience with Evenity, but have little hope of getting him engaged. Everyone is just too damn busy.

I want you to know how much I appreciate your kindness, your advice, and your search suggestions. I'm going to give both resources another try. And I think I will post to this group and the cardio group re: searching for doctors. But meantime, please accept my gratitude. You're really helping me calm down! 🙂

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Replies to "Hi, @hollygs, and funny you should mention searching "metabolic bone specialists Texas," as I did that..."

Hi @bayhorse. Thank you for the kind words. I've had similar experiences with doctors and it was shocking. This is one of many factors that contribute to the fear and anxiety felt by those of us with osteoporosis.
Speaking of Amgen, have you spoken with them? I found their patient services clinician to be incredible helpful. You just might find a new perspective from a different person. No
stone unturned etc. I also found the infusion center's staff to be a great resource and they might be able to recommend a doctor to you. Worth a shot. Ditto community websites like Nextdoor.
What would your sequence be after the possible choices?

Hi @bayhorse
I too find it amazing that there is only possibly one doctor who claims "expertise" in osteoporosis in the Houston area. Surely there are a lot of us in that 4 million population base who are older women who might have bone loss. Funny you did what I did, booked an appointment in 2026; mine's only 7 months away!!! Currently I'm on my 3rd endocrinologist in 4 years. She seems ok although we don't agree on whether I actually have osteoporosis as I believe the bone scan reads one section of my spine incorrectly due to my scoliosis. Plan to see her before the "expert" in February and hopefully she'll ok another set of bone markers and a scan before telling me I need another infusion of Reclast. Good luck and please message me should you find a doctor in the Houston area.