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DEXA scores: mild vs. severe

Osteoporosis & Bone Health | Last Active: Jan 10 2:13am | Replies (54)

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@lynn59

Can I ask why you prefer Forteo over the others? My doctors are recommending Prolia or Reclast for my -3.1 spine and I’m leaning towards the bone building drugs, even though they say I may never need them. My thoughts are why not build better quality bone while I’m still in my mid 60s and very active. I’ve had two endocrinologists recommend Evenity if I decide to go that route, but for some reason I’m a little reticent to go with it as it is the newest.

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Replies to "Can I ask why you prefer Forteo over the others? My doctors are recommending Prolia or..."

lynn59, my thoughts follow yours. Why build a weak bone when there are medications that build strong bone. And faster.
I chose Forteo over Tymlos because it is a lower dose and because it has been around longer with mandated aftermarket studies. Some individuals can't tolerate Forteo, and for others it isn't effective. If that were true for me I'd take Reclast.
If you take Prolia or Reclast first, the anabolic effect will be blunted. Even as those drugs cease to be effective when you quit taking them, the residue remain in your bones. Forever they say.
When Forteo was limited to two years in a lifetime by the black box, physicians would say--save that powerful drug for when you are older and need it more desperately. Now we are able to repeat Forteo with intervals each application as robust as the first.
You may "need them" already, Most fractures happen in individuals with osteopenia.
With scheduled injectibles, the physician can be certain that you are compliant.
The cardiac risks with Evenity may prove to be unfounded. I'm hearing that it is very effective, but even without any risk factors , I'd wait. But then, I really have the perfect drug.
wishing you the best