brendammc,
Forteo crafts a fine bone. It takes it's time making sure that all the older bone is removed before laying down new bone. It can reconstruct areas of lost bone rebuilding even the missing trabeculae scaffold.
Evenity builds thick bone fast without any preparation. You can see why this would advantage someone whose bones were on the verge of collapse. But it isn't great bone. It doesn't have the communication channels needed to recalibrate the bone according to our activities. This bone accumulates on the outside of existing bone. It doesn't have the flex you need if you want to remain active.
Worse, in my way of thinking, are the cardiac risks, The drug was rejected by the FDA initially because of this, then it was approved with the black box warning. After a few years of use, the black box warning was enhanced. But most of us will die of cardiac issues. I set a hard shoulder against Evenity, which deserves some skepticism. And I hope I'm wrong and that Evenity's use by the brave proves me wrong.
I see a endocrinologist whose focus is osteoporosis. He's run the most efficient office imaginable. And I genuinely like him.