@rudysmom Sequencing of a PTH such as teriparatide (Forteo) before Evenity is supposed to be one of the most successful approaches. In your place I would try for teriparatide now in the hopes of following with Evenity in 2 years.

There are quite a few doctor & researcher videos on YouTube who talk about the order or sequencing of OP meds. Dr. Doug Lucas has a recent one for example. That I just linked on another discussion thread. If you search on "Osteoporosis Treatment: Best Order for Medications Explained" you should also find it.