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Evenity

Osteoporosis & Bone Health | Last Active: Dec 15, 2025 | Replies (28)

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Hi everyone,
I'm new to this forum and fairly new to navigating life with osteoporosis. I was diagnosed just a couple of years ago, and I'm now 66. Before my diagnosis, I was fortunate to be in good health and didn’t take any medications. The osteoporosis came as a surprise and was only discovered after I suffered a vertebral fracture and was sent for a DEXA scan.
My initial bone density results were quite severe: a T-score of -5.5 in the lumbar spine, -3.8 at the femoral neck, and -3.9 in the hip. I recently completed a year of Evenity with no side effects, and thankfully, there has been some improvement. My most recent scores are: lumbar spine -4.8, femoral neck -3.6, and hip -3.3.
Now, my doctor is recommending that I start Prolia. I'm struggling with her comment that I will likely on it “for the rest of my life.” That really gave me pause. I’m doing my best to support my bones through diet, supplements, and regular weight-bearing exercise, but I know medication is likely necessary to preserve the gains I've made and help prevent future fractures.
Is Prolia truly the only next step? And does it usually mean a lifelong commitment? I’d really appreciate hearing from others who’ve been down this road — your experiences and advice would mean a lot.
Thank you so much.

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Replies to "Hi everyone, I'm new to this forum and fairly new to navigating life with osteoporosis. I..."

You could do fosamax for a year or two then go back on Evenity. That would be best. Otherwise, Prolia sounds right until some other medication comes around.

Hi @dgtex . I'm also 66 & just joined this forum today. I just started seeing a rheumatologist to ask about continuing Tymlos & he wants me to do a year of Evenity instead. He also suggested a couple of years on Prolia after Evenity & then a year of Reclast & then I should be good for the rest of my life without osteoporosis drugs. My primary care doctor had told me that if I start Prolia, that I could never stop using it because if I did, I WILL break my spine. Her words. She then added that if I stopped Prolia I would have to immediately go on another medication to keep me from breaking my spine. I told that to the rheumatologist & he said that my spine would be safe after the year of Reclast. He's giving me a month to make up my mind about Evenity. I'm mostly concerned about the stroke risk. Good luck with whatever you decide.