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@windyshores

@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.

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Replies to "@artscaping I have been told that Evenity also has to be followed by another drug to..."

Good afternoon @windyshores. Wow....perhaps I don't understand what "lock-in" means. Is that your terminology or can you find it in my new "Bible"......Great Bones. According to the author, Dr. McCormick, Evenity should be followed by at least 12 months of a biphosphonate to prevent rebound and increased bone resorption.

I so appreciate your help and want to make sure that you and I are on the same page and hopefully using the same language. Just in case you want to check, I am on page 557.

May you have peace and contentment.
Chris

Thanx for responding to me re Evenity and injections following treatment. I just started estrogen replacement therapy again. I know that doesn’t build bones, but can help to maintain them. Go to Google and type in ERT in England or United Kingdom. They have a whole different and positive outlook on hormone therapy for osteoporosis. I am only taking the lowest estrogen patch. I do not take progestin as that one has a higher risk for cancer. Many of my friends have taken ERT for 30 to 40 years and not had any side effects. I had a hysterectomy at 40 and was on the patch for thirty yrs. with no side effects or osteoporosis. However, I went off it 10 yrs ago due to doctor’s orders re clotting. So I just went back on, and hopefully there will be some benefits. I live in Mpls. Are you in MN?

Thank you fi