Which option to pick???

Posted by seniorhope66 @seniorhope66, Sep 11, 2025

So, I saw my doc today. They said, even with exercise/supplements, that won't be enough to improve my bone density/fracture risk in any meaningful way. The meds that were suggested were reclast (which I understand that only prevents further damage but doesn't build back bone) OR Tymlos (which I would take daily for 2 years, not sure what happens after the 2 years). Anyways, anyone have experience with these drugs? Can I avoid them all together with supplements and exercise? Appreciate your comments, thanks.

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Profile picture for jo2184 @jo2184

At Medicare email about 3 months ago said that if the DEXA scan is to compare results against a previous one, it can be less than 2 yr interval. The 2026 Medicare booklet says bone mass measurements: once every 24 months (More often if medically necessary) for people who have certain medical conditions (like osteroporosis) or meet certain conditions. Call medicare and ask them re your reason.

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Thanks for your response.
I will contact Medicare

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Profile picture for bswpb @bswpb

Maryann,
I am not thrilled about Prolia because of the way it works but I am even less thrilled about new drugs. For whatever reason they are a nightmare for me! So Prolia is it for me unless I have to change!

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Which of the new drugs are problematic for you,?

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Profile picture for jo2184 @jo2184

At Medicare email about 3 months ago said that if the DEXA scan is to compare results against a previous one, it can be less than 2 yr interval. The 2026 Medicare booklet says bone mass measurements: once every 24 months (More often if medically necessary) for people who have certain medical conditions (like osteroporosis) or meet certain conditions. Call medicare and ask them re your reason.

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@jo2184 Your prescriber should be familiar with the forms needed to have a repeat DEXA be determined to be "medically necessary" by Medicare. I've been approved for repeat DEXA and TBS six months after the prior scans a few times with no issue whatsoever.
Best wishes moving forward!

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Profile picture for clowny @clowny

Yes, true.
I am going to get a scan before the 2 years so we can see how effective Evenity has been.
I will have to pay for it

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I'm on traditional Medicare and a supplemental. I've been having DXAs every year for 5-6 years and I've twice paid for DXAs before the one year was up because I wanted to plan ahead and needed to know what results I was getting to be able to do so.

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Profile picture for gravity3 @gravity3

Which of the new drugs are problematic for you,?

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@gravity3 I was on Prolia for 5 years with no problems. My bad reaction was with Jubbonti. It is a biosimilar that's only been on the market for 3 months. Biosimilar means the drugs share the same active ingredient but most likely are formulated differently. The company that manufactures Jubbonti, Sandoz, upon further research I found they specialize in making generics and biosimilars of drugs whose patents have expired. My theory is the company that brought Prolia to the market, (Amgen) of course wanting approval back in 2010 from the FDA was ever so careful checking all the boxes for efficacy, safety, and side effects. I think Sandoz, in their rush to take advantage of an expired patent and grab their share of the profits by marketing their version as a cheaper alternative, may have been more focused on efficacy and less concerned about monitoring side effects. That's just my theory. What I do know is that everyone's DNA and metabolism is different and the chemical composition and/or formulation of Jubbonti doesn't agree with my biochemical make-up.

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