Forteo or Evenity - which to take?

Posted by bellagila @bellagila, Apr 29, 2023

I was diagnosed with severe osteoporosis last year and am still unsure about whether to take Forteo or Evenity. I fractured my pelvis from a fall several years ago. I consulted with 3 bone experts - two suggested Forteo and one suggested Evenity. I would greatly appreciate your thoughts and experiences with both success and side effects from these medications. Thank you so much!

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@windyshores

@bellagila I have taken Tymlos for 18 months though at a partial dose. My results were amazing, with 19% gain in spine and 9% gain in hip. My spine went from -3.7 to -2.5, from severe to the borderline for osteoporosis. My hip went from -3.3 to -2.9.

I could not tolerate Forteo because it is full dose only. I started Tymlos at a lower dose and moved up to what I could tolerate (7 out of 8 clicks). I still cannot tolerate the full dose of Tymlos! But you might do fine on Forteo. (I have low blood pressure and afib.)

I was torn about Evenity. It is newer and potent as a first medication. As I said, I have some heart issues but they are vulnerable to all of these drugs. I liked that Tymlos only builds bone. Evenity also affects resorption. I could be wrong but I felt bone quality might be better with Tymlos. Check that with your doc (would be true with Forteo as well).

At the time I also was told I could take Evenity after Tymlos but not the other way around. My current doc wants me to go on Reclast but I have written him to ask about Evenity now.

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Your Dexa results after Tymlos are so inspiring. Thanks for sharing.

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The posts of "Osteoporosis & Bone Health" Support Group are very helpful!

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