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@njx58 I am six months into Tymlos and really don't have any issues with it but I'm concerned about what comes next! Would you mind sharing what you are taking now to maintain your bone density gain? I am 64 and have a -3.4 t-score in my spine. No fractures (I exercise and run/walk daily and was shocked to find out I had such a low T-score). Even six months into Tymlos, I still think of going off of it just to avoid taking drugs for the next 20 years. Thanks!
Replies to "@njx58 I am six months into Tymlos and really don't have any issues with it but..."
@rileyf I started on alendronate a few months ago. No side effects for me. My next DEXA is in January. My spine was -1.7 in January, so we'll see what happens. It's possible that the doctor will allow me to stop meds altogether, I'm not sure.
I believe the usual protocol is to take a drug holiday every few years if you're on alendronate. After five years, you take 2-3 years off.
My guess is that after a year of Tymlos, your spine will go to osteopenia range.
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@rileyf Hi there! I know it doesn’t work for everyone but it has definitely worked for me. It pulled me back up into osteopenia. At 6 mos you are likely hitting its most effective period so think hard about dropping it. Have your docs been checking your bone turnover markers like CTX or P1NP to see how you are responding?