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DiscussionSignificant osteoporosis: I need a bone plan
Osteoporosis & Bone Health | Last Active: Dec 10, 2022 | Replies (88)Comment receiving replies
Replies to "Hi there @heyhey, Thank you so much for your post. Now, if I answer these questions..."
Thanks very much for your reply. May I ask, is there a reason that one would wait 18 months after starting Tymlos or other drug for a followup bone scan? Is it an insurance issue? I would have thought that annual tests would be required because, if a treatment isn't working, it would allow the treatment plan to change.
Thanks for information on refills. I thought it would be only 30 day refill so thats a relief.
My endocrinologist suggested Evenity, Forteo or Tymlos (in that order). I personally felt that Evenity was too new, with an unusual mode of action, and that I would like a drug that had a longer time in market. Also, I cannot find anything suggesting that Evenity is better particularly at bone building. But, again, I'm having trouble finding research reports on any of them.
I would have trouble making any impact with diet, because I already eat a whole, organic diet. I get quite a lot of dietary calcium. I can increase exercise but, was already pretty active (ie 5 days/week).
The one thing I am considering is adding HRT to standard treatment of Evenity, Forteo or Tymlos. My endocrinologist supports that , with the usual cautions/about the risks. I had an early menopause which I believe contributed to osteoporosis. But at the time HRT was getting a really bad rap and several doctors refused to prescribe it because I had no menopausal symptoms. I should have insisted.
I have to say I'm also super depressed about the diagnosis. Which is probably what everyone feels at the time. I am 60 but have the bones of an 84 year old.
@heyhey.......here is an introduction to a discussion on Evenity.
https://connect.mayoclinic.org/discussion/evenity/?utm_campaign=search#new-comment.