Struggling with making an osteoporosis treatment decision

Evenity and Prolia are both made by Amgen so the website suggests following Evenity with Prolia 🙂

I am on Tymlos. My doc wants to do a partial dose of Reclast (well-hydrated, and slow infusion) to see how I react. I then might do a stronger dose. He says that with monitoring I could take breaks from meds, but with Prolia this would not be possible.

I would think that if I do Evenity after Tymlos, a possibility, I would follow with Reclast.

There are other biphosphonate options. One poster suggested the shorter acting alendronate if the plan might include going back on a bone-builder, because the anti-resorptives can interfere with them.

The other way of thinking would be to do the longer acting Reclast, which stays in your system and might enable you to take breaks.

I think it depends on our DEXA scores after we finish our current med.

Has anyone suggested Boniva? My Gyn suggested that I start on it. The Bone density test showed at 15% hip fracture in 10 years

@leale what were your actual scores?

Has anyone read or researched that bone density declines at menopause then stabilizes.just wondering if that is true ..mine dexa dropped but has remained the same for the last four years...no meds just supplements

I keep a chart of my DEXA's since 2001. I had a steep drop after menopause and then a continued drop but at a much lower rate. I would add that I was on a cancer drop that confuses the rates for me. My cancer med eliminated adrenal estrogen post-menopause and again I had a steep drop in 2015 followed by much lower rate of bone density loss thereafter.

If yours has remained the same, that is great. What supplements are you taking? If any contain strontium, that could make things look better than they are on the DEXA. I take calcium citrate, magnesium, K2 (MK-7), 2-3,000 units D3, folate and B complex, walk and do tai chi. Would like to read what else you might be taking - or doing- to achieve that stability.

This is to all women who have said they have always taken care of their bodies, exercised etc. what did women do before Dexa Scans? Seems to be an awful lot of us have osteoporosis. Why the epidemic? Prolia was recommended for me as well because i can’t tolerate bisphosphonates. But if i have to follow up with something else after Prolia i end up taking something I can’t tolerate.
I haven’t met a doctor yet that is older and on these drugs. They hardly think before saying i recommend Prolia. I haven’t done anything. I am exercising and doing weights to build my muscle strength. Why take something that will put me in a worse place if i don't continue another drug?????

I feel the same way but I’m about to take Evenity. That is one of my major hesitancies. I actually need surgery but can’t have it because of the condition of my spine. I really just don’t know what to do

I think the "epidemic" is partly due to the fact that we all live a lot longer.

In my mother's assisted living facility, I see a lot of women with life-threatening fractures as well as dowager's humps, the curved spine and bent over posture from vertebral fractures. They did not have any meds to take.

There was a period, I think, when docs overmedicated osteopenia, but that may have calmed down.

I think Forteo, Tymlos and Evenity are good meds for those of us with high fracture risk. I have been told I could maybe have one Reclast infusion to lock gains in and then take a break. I am not going near Prolia because you cannot take a break without something else to follow (and my doc feels the same).

I will do more research on Forteo, Tymlos and Evenity.
I don’t want to use Prolia because of follow up. Thanks for some insight

Mine dropped enough that he wants me on the meds. I am going to see what my d level is. Waiting for results