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Do I need to start Prolia? or can I wait and follow my lab results to
Osteoporosis & Bone Health | Last Active: Sep 5 11:49am | Replies (45)Comment receiving replies
@gently: I’m very interested in your bone building theory or should I call it osteoporosis prescription to avoid Prolia recommendations?!?
I think i am convinced, but a little confused on what drug to put in my body to help my bones retain strength gained by Evenity. I am 80 yr old female ready to take my 4th month injections of Evenity. I took Risedronate for 3 1/2 yrs prior to repeated DEXA scan that showed increased bone loss in Lumbar Spine and Hips - so Dr suggested Evenity. Is Forteo or Tymlos the best follow-up drug or would you recommend another osteoporosis treatment? For how long to take it? What’s next choice of drugs that follow it? What is your opinion of taking drug holidays & for how many years between treatment? I am needing your expert advice.
Thank you. Please Reply to dbamos1945.
Replies to "@gently: I’m very interested in your bone building theory or should I call it osteoporosis prescription..."
dbamos1945, good title for my musings. But remember that some people fare well on Prolia, some without any side effects and big thick strong bones.
I can't be the expert. I've no medical background and almost no experience with the medications. I just like to tell people what to do.
Evenity is so much easier to take than the daily injectables. I am glad you transitioned from risedronate. How low were your numbers. If they were very low cheers to your endocrinologist. Evenity might be the very best to prevent imminent fracture.
I wish you were having bone markers, at least P1NP because Evenity doesn't work for some few. No matter the P1NP, you've gotten the best bone growth from Evenity after the 3rd or 4th injection. I (personally) would switch at the month mark after the fourth injection to Forteo or Tymlos.
My musings have a subtitle so we have "Osteoporosis prescription to avoid Prolia : How to get home safely with an anabolic."
Some though, can't tolerate Forteo. Some few also have taken a year of Tymlos without gaining bone.
I can't say that the usual antiresorptive is a good choice after Evenity, because it doesn't make sense to me to follow a drug that ends primarily antiresorptive with another antiresorptive.
But your question makes me realize that there must be a chart with Evenity followed by a bisphosphonate.
You can trust my intentions, but all theories from everyone must be treated with suspicion.
@gently and @pauladiamante and @dbamos1945
Please listen to this podcast where Margie Bissinger interviewed Dr Keith McCormick.
Dr Mccormick wrote “Great Bones” which is like an encyclopedia about Osteoporosis. I believe he can answer your questions about the orders that medications should be taken. If I remember correctly, I think he said that Evenity should be followed by Reclast. I think Prolia also should be followed by something, but can’t remember which one. Please give him a listen because he has very good information!!
Hope this helps you. If for some reason, this link is not working, go to YouTube and search for Margie Bissinger Osteoporosis or in combination with Keith McCormick
Good luck!!
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Just to let you know there is some misinformation here above. Evenity is not a bisphosphate. Does not work the same way as prolia.
Thanks.