Thanks for this reference on the bone turnover markers, @mayblin. It is indeed a good place to start.
My last dexa, which was done this past January while I was still injecting Tymlos, gave me a lumbar T score of -1.2; left femoral neck and left total hip were both -3.4.
I gained next to nothing in two years in my hip on the Tymlos. It did a better job for me in the spine, a 7.1 % increase in BMD, pushing me back into the osteopenic range.
The situation with my hips makes me very nervous, and is the main reason I have been trying to find out if Evenity would be safe for me given my cardiac history. I thought maybe I could do a couple of months just to boost my P1NP. (Hence my many questions about the drug -- don't want a heart attack trying to save my skeleton.)
A side issue: I have some avascular necrosis in my hips, thought to be the result of 13 years on steroids for ulcerative colitis. The necrosis isn't widespread. But it makes me wonder how much of a gain I can expect in the hip from any osteoporosis drug. Yet another question to which I have not been able to find an answer...
I see, you had nice gain in lumbar spine! Among the three anabolics, evenity does show better gains in the hip and femoral neck areas in clinical trials. Based on shared experiences in this forum, its effect could be somewhat unpredictable. Avascular issues make it even more unpredictable imo. I once watched a presentation discussing how blood supply to bone changes with age. Essentially, age-related vascular changes can impact bone formation. Can't locate that video now 🙁