Tymlos has not caused much in the way of heart palpitations once I figured out it was best to start at two clicks and move up to 8. For me. I have had almost no heart palpitations on 7 clicks for several months.
The difference, as far as I can tell, between Tymlos/Forteo and Evenity, aside from how they work in the body, is that Evenity suppresses bone turnover as well as growing bone. So if your doc is feeling like you have been on Prolia too long, and you are having fractures, I would think you would want to avoid any meds that suppress bone turnover, and do Tymlos instead, which only grows bones. But I am only being logical and your doctor may know things I don't, like relative effectiveness of each drug after years on Prolia.
Lani Simpson writes books and has a Facebook group. There are also Facebook groups for each med. Keith McCormick wrote a book as well. Lani is considering meds or might have started, and Keith took meds, so although both are kind of in the alternative/natural treatment world, they both recognize the need for meds, so I find them to be balanced.
I joined this very helpful group because I had such severe side effects from my second injection of Prolia and I was trying to gather all the wisdom that I could to help me decide what to take next to avoid the rebound effects from stopping Prolia. I received my first infusion of Reclast on March 23, 2022. This was the only medication that all of my doctors could agree would be the next best step. I want to thank all of you who gave me such helpful information. I asked my doctor if she would please order the infusion to be given more slowly than the recommended 15 minutes. She agreed and my infusion was for one hour. I also drank 64 ounces the day before, the day of and the day after the infusion. So far I have some joint pain and I have had a few episodes of foot bone pain, but nothing like the severe pain I had with Prolia. I hope that I continue to be free from the severe pain I had with Prolia. I have a bone density scheduled for next month. I am so grateful for your advice and support. I will keep you posted as to my progress. If you are considering Reclast. I strongly recommend you have a slow infusion and drink more water than they recommend.