← Return to Prolia treatment for osteoporosis: What is your experience?

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@artscaping

@contentandwell,

Here is some information about the way Tymllos stimulates bone cells to produce new bone tissue. Tymlos is a lab-made copy of part of the human parathyroid hormone-related protein (or PTHrP), while Forteo is a partial copy of parathyroid hormone. In our bodies, the PTHrP and the parathyroid hormone do many things, notably stimulating bone cells called osteoblasts to produce new bone tissue.

Tymlos is meant to be injected daily for 18 months. Major difference with Forteo is that Forteo has to be refrigerated and taken for 24 months which makes travel pretty difficult. Tymlos is meant for patients with severe osteoporosis. At 77, I am already playing catch up.

After my severe reaction to Boniva....all of the other bisphosphonates were ruled out. I didn't like the idea of taking medications once a month or every three months. What happens if you have a reaction....and you just had the injection? I chose the daily option which gives me an immediate opt-out if necessary.

I didn't like the pricing history of Forteo with double-digit percentage price hikes year to year. My insurance accepted Tymlos and it is less expensive. The women's health research emphasizes that women need to do other supportive measures to improve their bone health....daily exercises like walking and healthy food choices.

Major question for me is what do you do when the 18 months is over and you are still around and need something to keep your "new" bones healthy? And there are some researchable issues like side effects. I hope all will be revealed in due time. May you have a pain free day. Chris

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Replies to "@contentandwell, Here is some information about the way Tymllos stimulates bone cells to produce new bone..."

You can go on Prolia to maintain the bone density achieved while on Tymlos.

@artscaping Thank you so much, Chris. This is great information. I too will be playing catch-up. As I have indicated in a number of posts, I am absolutely fuming at my PCP that he dropped this ball. It sounds as if Tymlos may be the best option for me too although I hate the idea of giving myself injections. UGH. Those are the only two that build bone, right? My DEXA report says I am at high risk for a fracture.
That is a good question, what to do when the 18 months is up. I will do more research on Tymlos. As I commented above, I called the rheumatologist I want to see today and she is now scheduling in December. I asked to be put on the waitlist and was told that I would be, but that it is a very long waitlist. 🙁 Have you asked your doctor what will happen after the 18 months? Are you seeing just your PCP for this or are you seeing a specialist too?
Where you mention daily exercises you mention walking. Walking is great for cardio and general conditioning but I just read that in a study done with a test group that did not walk, and a group that did walk daily, there was no difference in bone strength much to the surprise of the researchers. I also saw somewhere that high impact exercises are good, but if your bones are weak should you really be doing high impact? I am thinking I will do some Zumba, that's pretty good exercise, burns a lot of calories and I think will be good for bone strengthening. I did it a long time ago, before having knee replacements, and a lot of women I know at my health club do it. I enjoy the pool and that too is good for some things but I doubt it does much for bones and right now that is a huge consideration for me.
I bought the ebook, "Strong Women, Strong Bones" by Miriam Nelson. I haven't read far into it yet but I think it will be good. My sister has osteopenia and her doctor recommended it. The same author has also written "Strong Women Stay Young" which too delves into bone-building but is not as specialized as the former.

@llwortman I can certainly understand your reluctance to take the drugs you mention. You did not mention Tymlos or Forteo. I believe those are different than the drugs you mention. Would they possibly be an option if you got to the point that Chris and I are at, needing to rebuild bone?
JK