My Experience on Evenity for Treating Osteoporosis

Doctors know the difference between trabecular and cortical bone (see below). My doc told me progress was going to be better with spine than hips, with Tymlos in my case.
https://karger.com/ajn/article/47/6/373/32936/Cortical-or-Trabecular-Bone-What-s-the-Difference
excerpt:
The vertebral body is the classical trabecular bone site, and vertebral compression fractures are the hallmark of osteoporosis. However, the thin cortical shell plays a substantial role.
The hip is considered a cortical bone site, but both cortical and trabecular bone contribute to femoral strength, the contribution of the cortical bone being higher in femurs with lower trabecular bone density [2]. Furthermore, the cortical bone supports bending in the distal region of the femoral neck and the trabecular bone supports the proximal load.

Hi @pulane,
As with all of us, we're individuals with a unique set of factors affecting our bone health. It can be difficult to find a doctor who will see you as a whole person rather than a bunch of different independent medical issues. I haven't had any luck finding the right doctor and treatment yet. My doctors are doing what they think is best, but they, like most, are used to just writing a prescription to treat the symptom rather than doing the research to treat the cause. On a side note, they are both approaching retirement, so even if they were doing all that I hoped they would, I would soon be in a similar situation to yours though in a much smaller community with fewer options nearby.
I'm disheartened to hear that you feel you need to go to the Mayo Clinic when you live in Madison with UW Health available to you. Among the health systems available to me through my insurance, though it's a bit of a drive for me, UW Health seems my best option. Because you feel you have to go elsewhere makes me curious about your experiences in Madison. Were your doctors who retired part of the UW system? Do you feel that they were willing to do the research into your unique situation when they so inconveniently retired? If anyone else here has consulted specialists at UW Health for osteoporosis treatment, what was your experience?
@pulane I hope that you have found a doctor you feel is the right fit for your needs. If you've already posted an update on your situation, please let me know where I can find it in the forum. I'd love to know how you're getting along.

Susan,
I hope you don't mind if I jump in on this conversation. I recently developed "medication-induced GERD" from taking oral alendronate. The best approach I've found for treating it is following an anti-inflammatory diet. For three weeks, I stopped eating processed foods, red meat, drinking wine, etc. I increased anti-inflammatory foods like fatty fish and blueberries, and, in that time, I hardly felt any discomfort at all from the GERD. I continue on an "anti-inflammatory light" diet, and I've started eating oatmeal, which absorbs acid in the stomach, and fruits like bananas and cantaloupe, which are alkaline. I find it is especially useful to eat 1/2 of a banana an hour or so before going to bed. I am averse to taking any of the medications recommended for GERD, so I'm happy to have found a system of eating that makes a real difference for me. I have to admit that it was easier to give up my red wine than my coffee (!) I still have 1 - 1 1/2 cups of coffee every morning followed by fennel tea (which is good for the digestive system).

I hope this is useful for you.

I begin Evenity next Wednesday, Nov. 29th, after much research and angst. Your comments are helpful and encouraging. Especially with regard to complementing the injections with proper diet and exercise! Let's hope for good results on our parallel paths.

Good luck! Why does a 150lb person receive the same dose as a250 lb person?
Do they just come up with an average when they determine dosage?

That us a question some of us 100 lb people are asking. Are we being way over medicated! Is there any correlation of adverse reactions and weight?

Good evening @lashu, You will find that your research had great value. Angst....I don't know.....maybe you won't have any. You are a wonderful member to the Connect Support Group. I wish you well and also hope that you will share your experience with the group.

May you be safe, protected and free from inner and outer harm.
Chris

Thanks so much Arlene for this valuable information
I just noticed this post is from 2020
Hopefully you’re still following this site
Wondering how you’re doing now ?

Chris, thank you so much for your kind encouragement throughout my research on this most informative and compassionate site. I most certainly will continue to seek out the experiences of others and to share my own. My Evenity injections are monthly, starting late November. Angst is something I consider normal and within limits to have a positive function: it makes me more cautious about lifestyle routines. This has often been a true safeguard.

Thank you !Very Helpful. If you have any sites for this diet please share.,,