Tymlos vs Evenity
Hi!
I’m new here and am happy to have found your page!
Trying to decide between Tymlos and Evenity.
68 years old – 5’2” and 98 lbs – very active with exercise classes and walking - I just had my second back surgery (clean-out on right side in 2021, and this one was a fusion at L-4-5 – doing well!) – have a right hip replacement – family history of osteoporosis – hysterectomy at 48 years old with no HRT – have done Reclast three times – my doctor won’t repeat Reclast – I have low blood pressure and have to get up slowly at times if I get dizzy.
T-Scores are:
Spine: -1.5
Femoral neck: -3.2
Hip: -2
My husband is 86 and has dementia; however, we still travel frequently internationally for up to two-plus weeks at a time. I am his sole caregiver.
My endocrinologist recommends Tymlos. I usually go with what my doctors recommend, but given my living/travel situation, I’m not sure it will be smooth sailing for two years with daily Tymlos injections.
I'd sure appreciate any input to help me decide between Tymlos and Evenity.
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@boneoptimist Yes, just had a DEXA on Aug 28. Zero change, but complicated drug sequence, with both previous meds D/C'd after 2 doses, due to severe systemic allergic reactions. At Day 24, and with 5-10 large and very angry welts remaining on my stomach at any given time (would take 5-10 days to fade), and then followed by true recall welts and possibly connected rash on my chest and then amped-up by the burning, swollen, and red lips, tongue, and face, all pointed to another dangerous systemic hypersensitivity allergic reaction. Other side effects were enough to cause a half-dose, which my provider has been against from the beginning, due to being off-label. The only reason I've been allowed to continue is due to my high-stakes leg salvage situation. Far from ideal and far from being a safe move. Should Tymlos fail, the only possible next-step is a non-anabolic, weaker-anti-resorptive option with a Transdermal Estradiol Patch + Promethium. That option is already been deemed necesarry to have comfirmed via my gyno, with regards to my personal Hx. All other OP meds are off the table, due to my previous reactions and history. If I can tolerate Tymlos for another 12-18 months, then Forteo would like be put back on the table. Sadly, that's big if, but hooing for the best.
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1 ReactionI have been on tymlos for 18 months and we are traveling internationally right now. I chose tymlos because it did not need to be refrigerated once the pen is open.
If we were going to be out longer than 3 weeks, I would have purchased a small medication cooler from Amazon. On the whole, I find it easy to travel with. I have the pen and extra pen needles in a zip lock with a smaller ziplock inside for the used pen needles. Of course, I do have to remember to take it everyday, but my routine is breakfast, then my dose of tymlos.
All the best to you and your husband on your travels, whichever med you choose.
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2 Reactions@cathyf31 , did I tell you that I'm only on 5 clicks? I can't tolerate 6 (i still try 6 clicks every 4 weeks or so). So I've been on 5 clicks for 11 months now. I think I mentioned that I discussed my worry about the 5 clicks level with my Dr, but she was just at an OP conference, and the latest research is showing that both Tymlos and the anti-resorptives will probably have good results at the lower doses. She basically said that my body might just have stay at 5 clicks, and while she cannot tell me to stay at that level, because the manufacturer's dosage is 8 clicks, she thinks it will be fine, and I'm getting great results at this level.
The other thing I'm thinking/hoping is that when we test again at 18 months to see if my body is still responding to the drug, if it shows diminished response, then I can try to inject closer to the full dosage, and maybe kick start my body's response again? I have no clue if that even makes sense physiologically....Like you, I'm determined to get the best results from this drug as I can!
Keep up the good work, you bone warrior! <3
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1 Reaction@cathyf31 , I asked for band-aids when i renewed yesterday, thanks for the tip!
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1 Reaction@boneoptimist Thanks!! You too!! 🤺🦴💪🦴🤺🤣🤣🤣
@jasperina
These positive comments are making me feel more reassured that travel and Tymlos is doable.
I really appreciate your comment!
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