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beccac avatar

'Step' requirement for meds and Tymlos

Osteoporosis & Bone Health | Last Active: Nov 25, 2025 | Replies (29)

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@beccac
the jaw issues should clinch the recommendation for an anabolic. The Hopkins endocrinologist might suggest Tymlos or Evenity over Forteo. Evenity has the risk of osteonecrosis, and the follow up medication is usually Prolia or Reclast. So it seems kind of like a dead end road to me, but if your -4 in the hip looks likely to fracture. Evenity would be the fastest way to give it support. Tymlos is thought to work better in the hip than Forteo. Forteo giving the advantage in the spine.
I'm having the easiest time with Forteo--no side effects, a little slow on the bone density increases. But I'm more eager for the structural changes which are only known with the PTH medications.
Those of us with massive anxiety have the advantage in gathering massive information Good work. I do wish you were starting medication now. Any chance of getting the PA to start the work of getting approval for an anabolic.

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Replies to "@beccac the jaw issues should clinch the recommendation for an anabolic. The Hopkins endocrinologist might suggest..."

@gently
I was told that some oral surgeons use Tymlos because it builds bone without the ONJ issue.