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Evenity after Forteo or Tymlos?

Osteoporosis & Bone Health | Last Active: Sep 4, 2025 | Replies (22)

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My endocrinologist, chair of endo at a major hospital in MA, won't prescribe Evenity after Tymlos because there is "no data as yet." I got a second opinion two days ago, with the same response. I was told research is being done on that sequence.

I responded that I was afraid that if I do Reclast after Tymlos, and do Evenity later, that effectiveness will be less due to the Reclast. Doc said no, and that saving Evenity for later was a good idea. Of course the two year limit has been lifted for Forteo, not sure about Tymlos but it will be if not already. I also would like better scores before "locking in."

So many on this forum are taking Evenity after Tymlos or Forteo. I participated in a masterclass with Dr. Lani Simpson and a patient who had done this and had more gains on the Evenity after doing well on Tymlos.

I am curious how docs are able to prescribe this course of meds elsewhere but not in my area of MA. How are you getting Evenity after Tymlos? I would seriously travel! PM me if that is better. Thanks!

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Replies to "My endocrinologist, chair of endo at a major hospital in MA, won't prescribe Evenity after Tymlos..."

I think docs could prescribe Evenity anywhere. There may be a ‘movement’ in your area, lead by prominent physicians, to not prescribe it.

@susanfalcon52 you may be misunderstanding. Of course my docs prescribe Evenity. They are not, however, following Tymlos with Evenity, due to "lack of data." For that reason- lack of data- according to my docs, noone should be prescribing Evenity after Tymlos (or Forteo).

I just finished two years on Tymlos with gains. Spine in osteopenia as one hip but not the other. My doctor does not like Fosomax or Prolia and he recommended Evenity. He said let's try to build as much bone as possible.