Tymlos success?

Posted by bvib @bvib, Dec 14, 2025

Hello. I am only 47 and got diagnosed with severe osteoporosis three years ago. T score in the spine is -4.1. I started these injections seven months ago. I was wondering if anyone had any success with this being effective enough to go to osteopenia?

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I was diagnosed in 2023 with severe osteoporosis and a spine score of -5.3. After 2 years of Tymlos, my dexa scan lowered to -2.7. Side effects were minimal after the 1st injection - I injected in the evening, walked around the house for about 15 minutes to prevent back muscle soreness, then relaxed for 15 minutes to lower my slightly related heart rate. For the past 14 months I did strength/ mobility training and pilates weekly. I increased daily protein intake to about 110 grams for 1,800 calories. I am ecstatic with the results. I have decided to follow my endocrinologist recommendation and start Prolia for 2 years and then reclast.

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In 7 months, my spine went from -3.1 to -2.1. Yay! It works!

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Profile picture for mamabear77 @mamabear77

@rileyf Hello. My spinal score was -3.6...shocked, but not shocked, since I have had back pain for years, though without any fracture. I am 77, and the endocrinologist advised Tymlos, since I need to build bone, rather than just slow the loss. I had had a possible TIA, so Evenity was not an option, nor was Forteo. I took Tymlos for a month, and had an array of side effects, many of which eased or stopped over time, but some came later, and were significant enough to make me stop the drug . (Terrible fatigue and leg pains every evening, and the return of frequent headaches). Many people obviously have little or none of these, so I am not hear to say anything meant to be a generalized truth. But I do think that risk and benefit always need to be weighed, but especially if one is older. For me, to take a drug that would have me feeling like that for an indefinite time (two years??) was not something I am willing to do. I do not minimize the seriousness of my osteoporosis, and am exploring other options, and taking extra precautions. I don't know if this helps at all. I just feel strongly that each individual's overall health and stage of life need to be key factors here. It is also disturbing to me that doctors can disagree so widely on this subject. As a retired nurse, it seems that there should be more uniform guidelines by now. Wishing you success on whatever path you choose.

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@mamabear77 hi there. I recently read about a supplement called mbp (milk basic protein). It's supposed to promote bone density and the studies seem promising. Obviously, it's not going to be as effective as drugs, but it may be a good option if you can't or choose not to take medication.

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Profile picture for norahguil @norahguil

Hi,

Does anybody know the criteria for Tymlos in Ontario, Canada?

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I do not, but mine is covered. It puts me in the catastrophic category, no deductible.....for now anyway. It was the treatment recommended by my doctor. I am allowed a DEXA SCAN once every two years, but with the doctors request for annual scans to monitor progress, they are covered also. I had six breaks in three months. I'd imagine my doctor would have intervened had insurance questioned it. If this is what you mean by criteria??

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Hi,
Thanks for your reply. I need to be clear as to what conditions one needs to meet to get Tymlos. I have also heard about Jubbonti which is a new osteoporosis medication out now.

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Profile picture for robert2025 @robert2025

I was diagnosed in 2023 with severe osteoporosis and a spine score of -5.3. After 2 years of Tymlos, my dexa scan lowered to -2.7. Side effects were minimal after the 1st injection - I injected in the evening, walked around the house for about 15 minutes to prevent back muscle soreness, then relaxed for 15 minutes to lower my slightly related heart rate. For the past 14 months I did strength/ mobility training and pilates weekly. I increased daily protein intake to about 110 grams for 1,800 calories. I am ecstatic with the results. I have decided to follow my endocrinologist recommendation and start Prolia for 2 years and then reclast.

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@robert2025 why can't you stay on Tymlos? Is it because the it was only tested for a few years?

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I am only at my 6 month point with Tymlos.At my last checkup my provider discouraged getting a Dexa as she said in some cases it may show a paradoxical effect.I don"t seem to have any side effects except "belly fat" which is a price I'm willing to pay.At 69 I don't plan on any swimsuit competitions though I hope it stabilizes & goes away after my remaining 18 months.I am hopeful that the Medicare coverage continues with so many changes after the new year.The best news is that I have been able to have three oral extractions & three dental implants .I did receive Reclast twice ,last in July of 2023 & some oral surgeons would not consider me because of the osteonecrosis risk.

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Profile picture for gowalking @gowalking

Yes! Yes! Yes! In May of 2024 my scores were as follows:

AP Spine L 1-4 -3.1
Left femur total -3.0
Left femur neck -2.8

A year later, in 2025
AP Spine L 1-4 -1.8
Left femur total -2.4
Left femur neck -2.2

So yes, I have gone from osteoporosis to low bone mass/osteopenia.
Just stick with it. Two years will go by quickly and you will be glad you did it.
My doctor said he has never seen such drastic results in such a short period of time.

I will finish my two years in April of 2026 and am hopeful that my numbers will be even better in May of 2026 when I have my next Dexa Scan. I'll let you know.

Keep us up to date on your progress.

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@gowalking

That is wonderful!! So glad you were able to stay with it.
My doctor said the same thing. TYMLOS is now his most recommended choice.

I finished my two years in March, 2026 and just had a RECLAST infusion to lock in the gains from TYMLOS.
I wont have a DEXA SCAN until October, 2026, but I feel confident that my bones have continued to improve in the second year of TYMLOS.

I had no side effects and was able to take it with no issues at all. At first, the thought of two years was overwhelming, but you are right, it went by quickly.

So happy it worked for you. What treatment are you doing now?

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Profile picture for hdeff @hdeff

@mamabear77 hi there. I recently read about a supplement called mbp (milk basic protein). It's supposed to promote bone density and the studies seem promising. Obviously, it's not going to be as effective as drugs, but it may be a good option if you can't or choose not to take medication.

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@hdeff I read about MBP too. I would like to try this route (plus exercise, etc.) before drugs; Tymlos was recommended by my bone specialist; I am considering it but I fear the side-effects.
I researched a bit on MBP. I have not found MBP in the US markets. I did find a site intended for US corps to contact a Japanese (where MBP is certified as a food substance and used by many with OP) firm. MBP is derived from whey protein. The Japanese firm does not sell to individuals. I can provide more info later if someone is interested (not handy at the moment). Has anyone else found a distributor of MBP? MBP contains two "ases" (such as lactase but the names escape me) that may be found in whey based protein powders. I have not found a protein powder in the US market that specifically had the two "ases" sited by the Japanese marketer. And from the research articles I read the ratio of the two ases is important. I will update if I find out more. Maybe this conversation needs to be in a new thread on MBP - or OP diet?

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