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@artscaping

Good evening @judy58. Yes, I see that Dr. Clarke has quite a background at Mayo in Rochester. I only have one question. Somehow the Evenity purpose is a bit mixed up. Evenity is the newest bone-building medication. However, Forteo and Tymlos also build bone. The difference with Evenity is that after building the bone, this medication protects the bone from reabsorption,

With Forteo and Tymlos you have to change to a medication like Prolia or at least start with Reclast to help your body hang on to the new bone. That is why I needed to find a medication that would help me retain my new and strengthened bone.

If you do a search for Evenity in the bar at the top of the screen, you will be taken to a list of all posts about Evenity. Please let me know if you find it.

May you have contentment and ease.
Chris

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Replies to "Good evening @judy58. Yes, I see that Dr. Clarke has quite a background at Mayo in..."

@artscaping I have been told that Evenity also has to be followed by another drug to "lock in" gains. The manufacturer suggests Prolia, which is also made by Amgen, but Reclast or alendronate can also be used. According to my docs.

Dr. McCormick's book "Great Bones" explains that Evenity is mainly bone-building for the first 6 months or so and then has an anti-resorptive effect more in the last 6 months, affecting turnover, but less so than Prolia or bisphosphonates.

You wrote: "The difference with Evenity is that after building the bone, this medication protects the bone from reabsorption." My impression from docs is that Evenity does suppress turnover, which is how Prolia and bisphosphonates work (but to a lesser extent) but this is not the same thing as "locking gains in."

Are you hearing that Evenity doesn't require follow-up? I am just trying to clarify your comment. I am doing Tymlos and then Reclast and actually like that Tymlos has no anti-resorptive effect since that means building quality bone, no dental issues and no risk of atypical fracture.

My endocrin md is fighting for me to start Evenity . My
spine T score is -4.6. I am healthy and take no prescription drugs at all except for migraines. This whole process is so stressful and then trying to fight the insurance companies. They are saying that I need to start with a bisphosphonates such as Fosamax.
Just doesn’t make sense!