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Significant osteoporosis: I need a bone plan

Osteoporosis & Bone Health | Last Active: Dec 10, 2022 | Replies (88)
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@heyhey

Thank you. I immediately self referred myself to an endocrinologist after I reviewed by bone scan. He wants me to consider Evenity, Forteo and Tymlos (pretty much in that order). I feel that Evenity has not provided evidence of efficacy over Forteo or Tymlos , plus its mode of action is quite different and has had little time on market to identify long term side effects. Do you know of any research comparing Forteo to Tymlos? My number are bad in spine, less bad in hips. Also, do you have any links to explain how to manage risk of spinal fractures (aside from medication, diet, exercise), example, whether I can continue to dive, cycle, run, wrastle with pet dogs, that sort of thing.

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Teresa, Volunteer Mentor | @hopeful33250 | Nov 17, 2020

Hello @heyhey,

I'm glad to hear that you are seeing an endocrinologist. Have you had a blood test to check for the functioning of your parathyroid (different from the thyroid)? That is a very important thing to check. Also, your Vitamin D level should be checked.

No, I do not have information on meds and their efficacy at this time. Like you, I'm just starting on this journey. I have taken Evista for a number of years and it has helped the bone loss in the spine, but not so much in the hip. I'll be meeting with my endocrinologist to discuss alternative meds. I'll keep you posted on what I learn and decide.

Have you thought of seeing a physical therapist or getting a personal trainer regarding appropriate exercise?

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