Any success stories about Evenity to share with fearful me?

Posted by callmekate @callmekate, Aug 23, 2025

After acquiring 2 compression fractures, I am biting the bullet and going for my first Evenity shot in 2 days. I am afraid of everything from heart palpitations (I have AFIB) to muscle spasms and joint pain and everything else . Has anyone been ok on the shots? Or only had minor issues? I would love to read encouraging words. My REMS scores were ok: hip -1.0, spine -1.2, but my DEXA scores were much worse: hip -2.8, spine-4.8, so I feel I have little choice now. Many thanks.

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Profile picture for callmekate @callmekate

I have now had my 7th Evenity injection. My post-injection side effect is feeling itchy all over for several days, a full week after the jab. I began BHRT nearly 4 months ago, at age 66, having finally found a naturopathic clinic willing to write the prescription. I haven't been able to tell if the BHRT is helping at all, actually, since I am still dealing with pain from 4 fractures in August 2025. (T11, 12, L1,2). Sometimes I wonder if some of my discomfort now, so long after the fractures, is due to Evenity. My hips, across my back--oh! I am retiring earlier than I had intended or planned because I cannot take an 8 hour day anymore. It's very upsetting, in every way. My biggest concern now is what to do when Evenity is over. My endo talks of Reclast, and I know others have taken it without issues, but the way these drugs work has never made sense to me. Why hold on to brittle old bone which is prone to breaking? Just so my bones look denser upon xray? And would my body eliminate my newly-built, and hopefully strong, Evenity bone? And how can we ever get away from these drugs if we must fear fracturing like crazy when our bodies' natural processes return? I am thinking of just keeping up my BHRT and amping up my weight-bearing exercises, etc. (Plenty of time for the gym since I won't be working...) My endo will definitely have an opinion on this, but I wonder what he would do in my place, you know? It is so hard to know what to do to live without regrets in the future. I truly value the comments and experiences shared here. They are invaluable.

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@callmekate - I just had my 8th Evenity injection. I've been on a localized vaginal low-dose bi-est hormone cream for about a year. I have an appt in April to see a new dr to discuss options for systemic HRT. I've also been attending a class designed for those w/osteoporosis, which will also end in June unless I decide to renew w/another 4-mo commitment ($$$).

When the Evenity course is over I plan to continue my gym routine (based on osteoporosis class exercises that I learned) and start taking the over-the-counter mineral Strontium Citrate.

I've read so many success stories as well as medical publications regarding the efficacy of either HRT or SC (or the combination) for bone integrity improvement on the Inspire forum, that I'm willing to test it out for a period of time. Then I will pay for a REMS scan to see how I'm doing. I can always go back to request the next recommended drug.

My next DEXA scan is scheduled for June when I get my last Evenity injection, so I will be able to see how much I gained thru the combination of very challenging resistance exercises as well as the drug. I feel like that will provide a good baseline from which to shift approaches. Like you, my endocrinologist is not a fan, but ironically my friend's endocrinologist recommended SC to her in lieu of a bone drug.

I realize that there are many variables for each of us--supplements, nutrition, severity of compromised bone integrity, fracture history, etc. But this is my pending plan for now.

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Profile picture for dalberk @dalberk

I’ve had five months of Evenity. The last two months I’ve had severe bone and muscle aches. I don’t think I can do it any longer. Has anyone quit after four or five months and seen any positive results?

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@dalberk
I had my 3rd pair of Evenity injections today. In addition to severe osteoporosis I have fibromyalgia & Sjogrens. I have also had 4 spinal surgeries.
I definitely had an increase in pain since starting Evenity. The pain is happening in joints that never hurt before. My usual painful joints have been on fire.
I spoke to my rheumatologist about this and he said tgat Evenity is the best thing available.
I am wondering if people who completed the 12 months of treatment feel better?

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Profile picture for gobigs @gobigs

Don’t be afraid, I am a 56 year old male, who has severe secondary osteoporosis of unknown origin. I was prescribed and approved for evenity and finished the 12 months. No side effects! I gained 16% of my BMD back. The unfortunate part is now I have to figure out what the next course of action is considering I still need to build bone.

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@gobigs Great to hear Evenity helped you. I am still having painful side effects and I have only 3/12 months completed.

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Profile picture for margaretisabel @margaretisabel

@dbamos1945
Hi, thank you for your thorough advice! I will use your ice before & after tips. 🙏
I am preparing for Evenity too, because I have a wedge fractured L1 vertebrae from a severe fall on July 13, 2025, and just that has worsened my spinal pain and scoliosis angle by a shocking amount, causing my lower ribs to now be “ sitting on my pelvis”. It is beyond shocking. The surgeon wants to have surgery side by side with start of Evenity bec he clearly feels my spine will worsen; the endocrinologist said absolutely not, six months minimum taking Evenity before my bones could hold the hardware. . . so who does one listen to?
Both the surgeon & endocrinologist feel the severity of reaction is from osteoporosis. I’m still mostly bedridden, but walking 8 blocks a day now to recover along with PT. I am terrified to start the drug, because I have frequent, lifelong intractable migraine since age 5, now 74.
Curious, when you lie down after teach injection until you feel better, what symptoms do you have immediately after each to need to recover & lie down?

Thank you again for your clear words. 💜

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@margaretisabel i initially use ice on the injection sites and later switch to alternating heat & ice. I also felt better when i was going to PT.

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Profile picture for bzenbren @bzenbren

@gobigs Great to hear Evenity helped you. I am still having painful side effects and I have only 3/12 months completed.

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@bzenbren that really sucks, I’m thinking your pain syndromes have everything to do with it. I still believe it’s the best option side effect wise. Forteo made my joints so bad and so did Fosamax after the Evenity. I’m now on Prolia and am doing ok. I hope you can find some relief.

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I've had 2 Evenity injections so far. I get them in the doctor's office. I had significant arm soreness after the first set of injections but the nurse administered the second set of shots in the abdomen and that was much better. Some tenderness but not bad. She also pulled it out of the refrigerator 30 minutes ahead.

I have severe osteoporosis in my spine (T score -3.6). Two years ago I was at -2.8 and went on Boniva but didn't tolerate it. I was just using calcium with minerals during the remaining year and half until my next Dexa scan when I found out I deteriorated.

My rheumatologist told me that if my osteoporosis was less severe, she would have prescribed something else.

I had to get a cardiac screening to go on Evenity.

As I understand it, it's not a self-administered drug.

My rheumatologist told me if I didn't want to go through with the cardiac screening or if I failed the screening, she would prescribe Forteo but that requires 18 months of daily injections. I didn't want to do this. The medication needs to be refrigerated and I do travel where the hotels don't have refrigerators in the rooms so I didn't want to do that one.

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Profile picture for gravity3 @gravity3

@ricksgal

I had similarly positive results with my year of evenity. Congratulations.
May I ask how old you are? Any Osteoporosis drugs prior to evenity?

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I have tried probably every osteoporosis drug in the past. My osteoporosis is quite severe. It looks like I’m probably going to be going back on Prolia But I’m hopefully getting an appointment with my rheumatologist to see if he agrees with this decision.

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I have had approximately seven compression fractures and I have severe osteoporosis. I just finished my year of Evinity And my bone density results were extremely good. I had no side effects from the Evinity. I would definitely give it a try

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Profile picture for ricksgal @ricksgal

I have had approximately seven compression fractures and I have severe osteoporosis. I just finished my year of Evinity And my bone density results were extremely good. I had no side effects from the Evinity. I would definitely give it a try

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@ricksgal
That’s so good to hear. I’ve heard a lot of stories about difficult treatments that I’ve been nervous about starting. I don’t have a choice - I will need spine surgery again at some point - but the idea of more pain in more joints is distressing.

Thanks for sharing.

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