@bellagila I have taken Tymlos for 18 months though at a partial dose. My results were amazing, with 19% gain in spine and 9% gain in hip. My spine went from -3.7 to -2.5, from severe to the borderline for osteoporosis. My hip went from -3.3 to -2.9.

I could not tolerate Forteo because it is full dose only. I started Tymlos at a lower dose and moved up to what I could tolerate (7 out of 8 clicks). I still cannot tolerate the full dose of Tymlos! But you might do fine on Forteo. (I have low blood pressure and afib.)

I was torn about Evenity. It is newer and potent as a first medication. As I said, I have some heart issues but they are vulnerable to all of these drugs. I liked that Tymlos only builds bone. Evenity also affects resorption. I could be wrong but I felt bone quality might be better with Tymlos. Check that with your doc (would be true with Forteo as well).

At the time I also was told I could take Evenity after Tymlos but not the other way around. My current doc wants me to go on Reclast but I have written him to ask about Evenity now.