Connect
← Return to Tymlos blood pressure side effects etc. very nervous! Help…
Discussion
Tymlos blood pressure side effects etc. very nervous! Help…
Osteoporosis & Bone Health | Last Active: 2 days ago | Replies (77)Comment receiving replies
I plan to start on Tymlos soon vs Forteo, with hopes I will have minimal side effects. (I was offered both by endocrinologist).
From the data I’ve read Tymlos appears to get SLIGHTLY better numbers of bone increase in the spine compared to Forteo.
My spine has compression fractures, the reason I’m starting a two year antibiotic therapy. Followed by (to be determined brand) an Antiresorptive Rx to maintain new bone.
**My question for experienced osteoporosis friends here, How do they determine my spine improvement??
Since last DEXA was 2017 of L3-4 because L1-2 couldn’t give a good reading. And all DEXA’s after 2017 they only did total hip, femoral neck total forearm and, 1/3 and UD forearm? They “can’t do the spine higher up b/c ribs get in the way”. (Lower spine part is pretty messed up).
How will I know if after 1 year and then 2 years I’ve improved from 2017 last spine reading of L3-4 of - 0.9.1?
Thank you very much.
Replies to "I plan to start on Tymlos soon vs Forteo, with hopes I will have minimal side..."
Connect
@countryliving, good choice between two excellent choices. I like bone markers CTX and P1NP to determine spine improvement. Partly because it takes longer for the pth drugs to manifest with bone mineral. But also because, for the very few, the medications aren't effective. And who wants to spend two years on a drug, (hopefully, not) tolerating side effects if the medication isn't effective for them.
You might be procure the new biometric CT, covered by Medicare starting in October in lieu of dexa. https://ondiagnostics.com/about-on-diagnostics/about-on-diagnostics/
Otherwise they will compare the bone mineral content with your last dexa in the areas last measured including L3 and L4. You might find this video interesting https://www.youtube.com/watch.