Post Evenity DEXA numbers

@gravity3, I've got more questions than answers right now, if you don't mind me asking. Between forteo and evenity, which one worked better for you? Also, were you on Fosamax right before starting evenity, and if so, for how long? I'm asking because you mentioned considering a lower dose of reclast after prolia. Are you thinking of the 4mg zolendronate or something even smaller?

I saw in some of your other posts that you might be on bHRT with prolia, are you? If so, do you plan to continue on bHRT alongside reclast, and eventually an anabolic of your choice?

If you are concerned about reclast affecting future anabolic's efficacy, maybe you could wait until bone remodeling suppression eases up - tracking bone markers might guide that timing. Just a thought.

@gravity3, I've got more questions than answers right now, if you don't mind me asking. Between forteo and evenity, which one worked better for you? Also, were you on Fosamax right before starting evenity, and if so, for how long? I'm asking because you mentioned considering a lower dose of reclast after prolia. Are you thinking of the 4mg zolendronate or something even smaller?

I saw in some of your other posts that you might be on bHRT with prolia, are you? If so, do you plan to continue on bHRT alongside reclast, and eventually an anabolic of your choice?

If you are concerned about reclast affecting future anabolic's efficacy, maybe you could wait until bone remodeling suppression eases up - tracking bone markers might guide that timing. Just a thought.

I'm not sure about the reclast amount. I read somewhere that someone had
had 1 mg. But it all seems like a crap shoot. It seems as though most docs
are trying to catch up and we've got to do our research too. Let me know
what you decide and how it goes. I forgot to mention that I started bhrt
last year. So no telling what positive effects this will have on my bone
help.

Studies have shown that prior bisphosphonate use can reduce the rebound effect or risk of vertebral fractures after stopping prolia. Your previous 4yr on fosamax probably helps, even though there was a gap year with evenity in between. That said, it might be tough to get your doctor to lower zolendronate less than 4mg after 2 prolia shots, likely due to the lack of data and potential liability concerns, imo. Will you consider fosamax again?

I was asking about your bHRT because I've been using it myself after forteo for its antiresorptive effects, without adding other antiresorptives (bp or prolia). So far so good.