@njx58, you might fax the office and ask what your wife would transition to after Evenity. If the doctor is wanting to transition to Prolia that might change the perspective.
Njhornung's experience is of great value here. Nj was straight forward.
You could borrow her line.
You might also explain that Evenity doesn't work for every patient. The markers would save her a year of additional bone loss by using bone markers, but you'd need the markers now and again after the first month of use of Evenity.
At least ask for a prescription for Forteo, If your wife, say were delaying dental work with an eye to root canal or implant, a doctor might more easily be convinced that Evenity especially Evenity to Prolia or Evenity to Reclast would not be a good way to go.
I can understand why a doctor would advise Evenity. It lays down heavier bone the fastest of any of our medications. If your wife were on the verge of fracture, and we haven't a good way of knowing, you might want the fastest protection, even if you were forfeiting stronger more resilient bone.
It doesn't help to say that if I were in her position, or when I was in her position, I would choose, did choose Forteo.
You have to look closely. She seems to be in good physical condition and not falling down or doing things like deadlifts. She is less likely to have joint pain with Forteo, quite likely with Evenity, though some few don't.
You might not want to wait for several months for a second opinion. I'd try to secure Forteo with the current doctor.
You can order and pay for bone markers. I like to have CTX and P1NP but at least P1NP with the anabolics. I get markers every three months, but I need more so I use Jason Health

Order Total: $148.00
Item code Item Name Item Price
qt16609 Procollagen Type I Intact N Terminal Propeptide $80.00
qt17406 Collagen Type I C-Telopeptide (CTx) $50.00
Lab Collection Fee $18.00
Grand Total $148.00
Could you get her into your endocrinologist sooner?
It's good you are protecting her.