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!