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Prolia vs. Evenity

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

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Hi, @hollygs: I took a break from thinking about osteoporosis drugs for a few days -- just couldn't handle it anymore -- so pardon my slow response. I am going to call Amgen tomorrow and see if I can get a few remaining questions answered. I had hoped my cardiologist would be willing to contact my old doc, the research director for Prolia & Evenity at Amgen, but I haven't heard back. I have an appointment with him (cardiologist) in a little over 2 weeks and will try to talk to him about this in person. I have unfortunately been trained (by long history with way too many doctors) not to ask a physician to go outside his normal scope or do anything "extra," so I am feeling a bit intimidated about asking cardiologist to extend himself and see if he can get something more than the usual warning about giving Evenity to heart patients.

I am scared about how long I can be off Tymlos before I start losing any gains. My endo & rheumy were kind of vague about it, so I might have to call the manufacturer.

I go for my Entyvio infusion (for UC) this week, and am grateful for your suggestion re: talking to the infusion center staff for a physician recommendation. And I never would have thought of Nextdoor, so thanks for that, too!

As to sequence, I really hadn't gotten that far. I was hoping to do Evenity, and if I reacted badly, I would succumb to Prolia. I'm really trying to avoid the bisphosphinates; my sister has jaw necrosis from Fosamax, and I don't know if that might be a family tendency. And since I have some necrosis in my hips, I am fearful of the dreaded femur break. Those were some of the other reasons I was wanting to avoid Prolia.

So, I still have some searching to do. I will keep you posted. Meantime, thanks again, and know I'm wishing you all the best of health! 🙂

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Replies to "Hi, @hollygs: I took a break from thinking about osteoporosis drugs for a few days --..."

Hi @bayhorse. I'm so glad that you were able to take a break!

I felt some trepidation telling my new rheumatologist that I didn't want to be on Prolia, but her response was "Okay, tell me your thoughts." I was stunned - as you well know, that's not what we expect (but should.) I also knew that if she decided she wanted me on Prolia, I would put myself on Fosamax (I had an unexpired bottle) and look for a new doctor. Perhaps if you firmly tell your cardiologist your valid concerns about Prolia, he'll listen. Unfortunately, many doctors just don't understand the seriousness of osteoporosis and the medications used to treat it, so it's up to us to stand up for ourselves.

I've found it helpful to think of my doctors as people I've hired, and I expect them to provide me with the service I need. I have certain requirements that are not unreasonable. I make it clear that I mean business!

As always, best wishes to you moving forward!