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Post Evenity DEXA numbers

Osteoporosis & Bone Health | Last Active: Aug 7 11:06pm | Replies (144)

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Profile picture for yingjichi @yingjichi

Thanks for your comments! The curves are encouraging! Wish there was a comparison between Prolia and Reclast as transitional medicine. I may just do the Prolia-Evenity sequence. I have meeting with my Dr at 6 months interval to evaluate Prolia efficacy. I’m sure she won’t object to 2 does if necessary.

I can take bisohosphonate orally I’m sure but my main goal is to build bone as fast as I can and also to avoid fractures. I don’t want to go through that again!

I forgot to post my TBS. Here you go. It seems I’m not that good yet. My Dr said it will improve with bone build.

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Replies to "Thanks for your comments! The curves are encouraging! Wish there was a comparison between Prolia and..."

Thanks for sharing your experience.

The BMD outcome from Evenity -> Prolia (2 shots) - > back to Evenity looked good overall. But I didn't see too much of a hip BMD increase after the first round of Evenity, and there's no FN data available. The spike in CTX during the second round of Evenity is something to keep an eye on. If you go this route, it's a good idea to have a plan B just in case.

There are studies comparing Prolia → Evenity vs Fosamax → Evenity (see graph below). From that, we can kind of infer what might happen with Reclast → Evenity.

The reason I asked about how you tolerate oral bisphosphonates is because risedronate (Actonel) or the delayed-release version (Atelvia) might be good options for bridging between two rounds of anabolic - Evenity in your case. This was actually discussed at last year’s bone symposium. I believe @awfultruth is doing exactly that.

Wishing you the best of luck - please keep us posted!