Let's discuss this

Posted by gravity3 @gravity3, Feb 19 6:29am

On issue regarding osteoporosis drugs that I have not seen discussed is this:
How much discomfort, aches and pains should we experience as a result of drugs that are helping us to maintain bone health and add bone?
It seems to me that it would be naive
not to expect a certain amount of discomfort with those processes at work in our bodies. Of course all of us are different. Some never have a noticeable side effect while some of those at the other end of the spectrum may be very sensitive to any drug and may have acute side effects
Anyone else been pondering this? I would love to hear what others think.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Profile picture for beachesanddreams @beachesanddreams

I struggle to understand how, in the year 2026, doctors are so reluctant to sit with patients and discuss our concerns, let alone go over what a drug actually does, how it works, and the positive benefits it could have. Don’t throw an Rx at me, tell me to inject into my body daily, then give me a wave with a, “see ya in three months.”

Give us a plan B.

Give us at-home or over-the-counter remedies to combat any side effects should they arise.

Give us sources to read that doesn’t require long, agonizing hours on Dr. Google to try and figure this out on our own.

Give us hope that if this one drug doesn’t work, another one might.

I’ve told the story before, but before I started chemo back in ‘03, a nurse sat with me, went over potential side effects I could experience, and gave me a list of OTC remedies that would prevent them or make me feel better. They all worked, every single one.

I don’t think this is asking too much.

I’m furious at drug companies for thinking these side effects should be accepted and tolerated. They have an obligation too.

I’m at the point that drug ads on TV are seriously having a very negative effect on my mind, and I don’t take any of them. The potential side effects are ghastly.

I wish I had a better answer, I really do. But I guess the most concrete one I can offer is this: Doctors, if you want us to take a drug, please let us know what we’re in for and give us a hand. It makes all the difference, and we’ll do better all the way around.

{ok, off my soapbox now}

This forum has helped me immeasurably. I’m finally ready to start Tymlos (and wouldn’t you know, neither the specialty pharmacy and my home pharmacy knows how to get this drug in my hands. 🥴😂)

Wishing everyone out there a beautiful day. 💐

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@beachesanddreams I had to go through this, I was able to get Tymlos through Walgreens speciality mail order, also Optum as well. You pretty much have to get it through mail order (at least for me with Part D). But it also took me a few weeks to sort out. And, I am the outlier here (though not on all patient sites) in that I am very happy with Tymlos. Makes me feel good.

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Profile picture for beachesanddreams @beachesanddreams

I struggle to understand how, in the year 2026, doctors are so reluctant to sit with patients and discuss our concerns, let alone go over what a drug actually does, how it works, and the positive benefits it could have. Don’t throw an Rx at me, tell me to inject into my body daily, then give me a wave with a, “see ya in three months.”

Give us a plan B.

Give us at-home or over-the-counter remedies to combat any side effects should they arise.

Give us sources to read that doesn’t require long, agonizing hours on Dr. Google to try and figure this out on our own.

Give us hope that if this one drug doesn’t work, another one might.

I’ve told the story before, but before I started chemo back in ‘03, a nurse sat with me, went over potential side effects I could experience, and gave me a list of OTC remedies that would prevent them or make me feel better. They all worked, every single one.

I don’t think this is asking too much.

I’m furious at drug companies for thinking these side effects should be accepted and tolerated. They have an obligation too.

I’m at the point that drug ads on TV are seriously having a very negative effect on my mind, and I don’t take any of them. The potential side effects are ghastly.

I wish I had a better answer, I really do. But I guess the most concrete one I can offer is this: Doctors, if you want us to take a drug, please let us know what we’re in for and give us a hand. It makes all the difference, and we’ll do better all the way around.

{ok, off my soapbox now}

This forum has helped me immeasurably. I’m finally ready to start Tymlos (and wouldn’t you know, neither the specialty pharmacy and my home pharmacy knows how to get this drug in my hands. 🥴😂)

Wishing everyone out there a beautiful day. 💐

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@beachesanddreams

After my own ♥️ - I too have a soapbox! Could not have expressed it any better!

Cheers!

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Profile picture for Tt62 @truong62

I totally agree with you. I don’t want to stop Tymlos—I still feel it’s the best choice for me compared to the other options. I can handle the usual side effects, but the internal dry heat was overwhelming. I’m trying to manage it as long as it’s not causing other problems. I’m concerned because both the Tymlos educator and my endocrinologist said this symptom isn’t related to the medication. Then what is it, and why did it only start when I began Tymlos?
Hopefully someone here has the same symptoms to share

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@truong62 I am sorry for your struggles - and not getting answers from current support team. Seek alternitive support.. a new set of eyes. Your situation may be very complex... but in my expereince I had unusual side effect on tymlos that could not be managed by current team. I had already estbalished and naturapthic and laternitive netwrok. I went to an ayurvedic physician -a fresh presective -to help find the solution. Ayurveda may assess internal dry heat and advise a balance... it may be simple as coconut water. ( cools the body - also used for intense heart palpations for tymlos) I had another serious issue with tymlos stomach pain/ inability to eat and found it was pancreatic issue due to the PTH of tymlos. ALlopathic docs did not see this.... Anyway there was Simple solution - digestive enezyme.
Seek further help - and educate yoursefl as best you can. Read Great BOnes by Dr K McCormick, Its a great reference and hopeful. Senign postive energy for your healing.

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Profile picture for ccps101 @ccps101

One thing that has helped me is prior to appointments, do as much research over a BROAD area online (frankly Google is one of the lowest scorers IMO, places like DuckDuckGo way better, but that’s an aside) and then boil my questions down to a list and go in armed with this. My doctors (especially my gastro who is a major doctor!) have repeatedly mentioned how helpful this is to them. So say you are considering Forteo, Evenity or Tymlos or would rather be on those than Prolia, etc. gather as many side effect you can, boil them down to simple list, go through first the pros and cons of each, then ask specifically what about this side effect, what about that side effect. I habe to do the same with my other specialists because one of my autoimmune diseases is,particularly rare. So every single supplement or drug that is going to go in has to be closely vetted. I have found, since I have specialists across the spectrum, it’s incumbent on me to make sure they are all sharing records with each other and that I am super well prepared when I go in. Especially with supplements because while one specialist might normally think X is Ok, the other one will point out it is absolutely not for my specific health conditions. Also, things change! When I was first diagnosed with one AI condition they thought a specific supplement was good based on a number of studies, now years later they are telling patients do not take X.
I know you know most of this already, but just want to share what I have been doing and what my specialists have appreciated and IMO has improved my appointments.
Also on side effects, and what each of us can take that’s so hard to sort out. As an AI patient with 3 conditions I think autoimmune patients in general are a bit more tolerant of a range of body ups and downs, often because meds work up and down, and because flares come and go. I know I have had meds and supplements be difficult and some intolerable but then I look at the options specifically for me and always weigh pros and cons and try to work through options. An example is when I was first Dx with RA many of the meds are contraindicated so had a small pool to start. Tried one and had terrible tinnitus so doc said STOP because that could be irreversible. So that’s heavy duty side effect. OTOH Tymlos has been great for me. Does it make me feel like I just drank an espresso for the first hour? Yes, but it’s TAME compared to what I live with daily! Anyway just some random thoughts. Sorry for the long winded response.
Good luck

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@ccps101 Yours was an EXCELLENT response, thank you!

For all the Googling I do 🤦🏻‍♀️, I should print things out with detailed questions and share them with my doc. I always have questions, but nothing to back them up with.

I am definitely going to take that extra step; I mean, I’m doing so already, as I said, but printouts provide at least one good backup. Great idea, and I appreciate you for sharing it!

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Profile picture for nycmusic @nycmusic

@beachesanddreams thank you very much for your kind and encouraging post….i appreciate very much your earlier post and feel that you are not only a good advocate for yourself, but also help others to learn how to do it themselves….wishing you all the best always.

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@nycmusic This means a lot…thank you. People have been so patient, supportive, and kind to me here, and it’s helped me and my mental state tremendously. If I pay it back just a little, that makes me happy. I’m truly grateful. 🙏🏼 🌺

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Profile picture for ccps101 @ccps101

@beachesanddreams I had to go through this, I was able to get Tymlos through Walgreens speciality mail order, also Optum as well. You pretty much have to get it through mail order (at least for me with Part D). But it also took me a few weeks to sort out. And, I am the outlier here (though not on all patient sites) in that I am very happy with Tymlos. Makes me feel good.

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@ccps101 Thank you for that clarification. I still don’t have it in hand yet, and I plan to make some more calls on Monday to get started.

I am so hoping to have the same experience as you are! I’m keeping strong and positive thoughts…😌

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Profile picture for beachesanddreams @beachesanddreams

@nycmusic This means a lot…thank you. People have been so patient, supportive, and kind to me here, and it’s helped me and my mental state tremendously. If I pay it back just a little, that makes me happy. I’m truly grateful. 🙏🏼 🌺

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@beachesanddreams you are definitely helping others, and inspire me to try to do the same. 💐

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I am not on any medication (age 68) except for osteo, so knowing that I had to start on a life-long treatment made me feel old and sad. I've been lucky enough not to have physical side effects that I can recognize with Tymlos and then Evenity, but the effect on my self-image has been major. I'm working with myself to see this as positive, forcing me to reckon with age and mortality while I am still strong and healthy!

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Profile picture for janism @janism

I am not on any medication (age 68) except for osteo, so knowing that I had to start on a life-long treatment made me feel old and sad. I've been lucky enough not to have physical side effects that I can recognize with Tymlos and then Evenity, but the effect on my self-image has been major. I'm working with myself to see this as positive, forcing me to reckon with age and mortality while I am still strong and healthy!

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@janism

How has it effected your self image? What do you say to yourself about yourself?

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Profile picture for janism @janism

I am not on any medication (age 68) except for osteo, so knowing that I had to start on a life-long treatment made me feel old and sad. I've been lucky enough not to have physical side effects that I can recognize with Tymlos and then Evenity, but the effect on my self-image has been major. I'm working with myself to see this as positive, forcing me to reckon with age and mortality while I am still strong and healthy!

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@janism speaking for myself and likely-other cancer patients, we have the choice and the power to go forward the best way we can…totally something we can develop within ourselves…you’re on your way !

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