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Looking ahead after Tymlos: Reclast, Evenity or HRT?
Osteoporosis & Bone Health | Last Active: Sep 20 9:57am | Replies (113)Comment receiving replies
@debbie1956, Those are great gains on BHRT! It would be interesting to find out what your P1NP level is. Maybe ask your naturopath to add it to your blood work? What were your REMS hip results? I had good results from Forteo and Tymlos on DEXA and TBS, but REMS showed no change.
I am seeing a functional physician while I am in Michigan, but I return to Florida next week. I have a list of N.A. Menopause Society doctors there and will check them out. It sounds like your naturopath knows what she's doing.
Thanks for posting. I am encouraged by your results.
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@drsuefowler My REMS right femur hip T score result was -2.3 in February, 2025, up from -2.6 10 months previous. So .4 increase in spine and .3 increase in hip. I did ask the naturopath about a P1NP. She said we could if I wished, or consider this test if my next CTX numbers are up from 138. I said it makes sense to hold off. I live near the Washington State border and would have to drive to Bellingham an hour away and pay of course. It isn't offered where I live in Canada. It is interesting to compare notes with your DEXA, TBS and REMS results. Interesting that your DEXA showed improvement while the REMS showed none. What was your percentage of improvement on the DEXA? Many people report a better score with REMS. My REMS was done 6 months after my shocking spine DEXA T score of -3.5 in November of 2023. The REMS showed -3, in April of 2024, so not wildly different. I hadn't started BHRT before my first REMS but had been taking Keith McCormick's recommended supplements for 6 months. A word of caution about DEXAS you may be aware of is that the machine must be exactly the same. My DEXA spine t-score in 2019 was -2.8. One year later after heavy long-term doses of Prednisone for my autoimmune diagnosis, my DEXA spine t-score had improved to -2.4! I knew next to nothing about OP and DEXAs at the time and hadn't heard of Keith McCormick. Another Mayo connect member observed last year that the serial number was different on the two DEXA scans at the same hospital. My family doctor should have questioned this increase while on Prednisone but happily informed me my BMD had improved while the opposite what's happening! So it was especially shocking to receive my -3.5 result 3 years later. I am waiting to have a DEXA with a TBS at Vancouver hospital, anxious to see my trabecular bone quality score. That is great you have had gains on Tymlos and Forteo and that you will be seeing a N.A. Menopause Society physician. I am so glad I learned about this qualification. Thanks for sharing your experience and helpful information. All the best to you.