1. < Osteoporosis & Bone Health

Forteo first - Then Evenity ?

Posted by bellagila @bellagila, May 21, 2023

I really appreciate this wonderful group! I have severe osteoporosis and would appreciate your thoughts on taking Forteo first, then Evenity or vice verse. I have read posts where people on Forteo have had no gains or only gains in the spine but not in the hips or femur. Kindly comment. Thanks so much!

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windyshores | @windyshores | May 22, 2023

Unlike Forteo, Tymlos can be started at a lower dose. I had great results starting low and moving up to 7 clicks out of 8 with Tymlos. I still cannot tolerate a ful dose!

REPLY
1 reply
amrh | @amrh | May 30, 2023
In reply to @windyshores "Unlike Forteo, Tymlos can be started at a lower dose. I had great results starting low..." + (show)
@windyshores

Unlike Forteo, Tymlos can be started at a lower dose. I had great results starting low and moving up to 7 clicks out of 8 with Tymlos. I still cannot tolerate a ful dose!

Jump to this post

What timeline did you use for increasing your doses?
My doc started me at full dose, and 3 weeks in, I am a mess of side effects.

REPLY
1 reply
windyshores | @windyshores | May 31, 2023
In reply to @amrh "What timeline did you use for increasing your doses? My doc started me at full dose,..." + (show)
@amrh

What timeline did you use for increasing your doses?
My doc started me at full dose, and 3 weeks in, I am a mess of side effects.

Jump to this post

I think the timeline is very individual. I moved up from two clicks to 6 in maybe 6 weeks. Can't remember. Then pushed to 7 and stayed at 7 clicks. Some days I did 6 if I had something important to do. You are not going to be totally without side effects but it can be tolerable for many of us with this ramping up. I still cannot do full dose but had excellent results after 18 months.

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1 reply
ans | @ans | May 31, 2023

In my research there does seem to be certain meds that are better for the spine issues than hip and vice versa. Though I haven't read this I think it may have to do with one is better at targeting the trabecular area versus cortical bone and vice versa.

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1 reply
candy209 | @candy209 | May 31, 2023
In reply to @ans "In my research there does seem to be certain meds that are better for the spine..." + (show)
@ans

In my research there does seem to be certain meds that are better for the spine issues than hip and vice versa. Though I haven't read this I think it may have to do with one is better at targeting the trabecular area versus cortical bone and vice versa.

Jump to this post

Yes I think you are correct. Tymlos and forteo help more with the spine. Some have improvements with hip but some will gain in spine and loose in the hips. Evenity does a great job overall. This was told to me by Dr. McCormick.

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amrh | @amrh | May 31, 2023
In reply to @windyshores "I think the timeline is very individual. I moved up from two clicks to 6 in..." + (show)
@windyshores

I think the timeline is very individual. I moved up from two clicks to 6 in maybe 6 weeks. Can't remember. Then pushed to 7 and stayed at 7 clicks. Some days I did 6 if I had something important to do. You are not going to be totally without side effects but it can be tolerable for many of us with this ramping up. I still cannot do full dose but had excellent results after 18 months.

Jump to this post

Thank you so much for sharing your experience. This helps bring me out of despair and gives me hope.

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