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pjmey6, welcome to Connect.
Evenity builds bone the fastest. If your T score is very low and your bones likely to fracture soon, Evenity might be the best medication for you.
Tymlos works more slowly. It remodels the architecture of your bone removing bone that is damaged and even rebuilding the cartilage structure that calcium attaches to and restores the architecture in your trabecular bone.
The bone it builds is more integrated, flexible-so less likely to fracture and in that way stronger bone.
Because Evenity doesn't remodel bone, the bone it builds is less vascular and incurs a small risk of osteonecrosis.
Clues about which medication best for your osteoporosis are in your dxa, age, activity level.
Without a medical background, my opinion is that, generally, Tymlos is a far better medication for osteoporosis.

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Replies to "pjmey6, welcome to Connect. Evenity builds bone the fastest. If your T score is very low..."

@gently
“Evenity (romosozumab) helps remodel bone by stimulating the formation of new bone and slowing down the breakdown of old bone, which is particularly beneficial for individuals with osteoporosis. This dual action increases bone mineral density and reduces the risk of fractures.”
Have you found something that contradicts this? Just wondering…❤️
EVENITY has considerable potential for women with very low bone mineral density who need to move their bone density up into more target ranges. Her experience so far is that the drug “seems to work very well.”

By inhibiting sclerostin (an agent produced by your body to stop bone formation), you encourage the “formation of bone”.

@gently
I'm to start Tymlos early next year, so the news that it builds better bone than Evenity helps me feel better about both its more frequent injections (daily -- argh!) and its extra expense (Evenity is nearly free with Medicare Part B but Tymlos is ~$3K with Medicare Part D).

This is such potentially good news for me, I hardly dare to believe it, so I'd like to read up on the research. Can you provide a link or other reference to the source of your information?