Forteo vs. Tymlos: Which did you choose?

@lhankins I just lost my long post!

I did Tymlos for two years. DEXA showed dramatic gains at 18 months but bone markers showed it wasn't working at that point. Your doctor may be going by the fact that effectiveness often wanes for the last 6 months or so, and also may be trying to save a year of Tymlos for the future. Curious what they say if you ask!

Dr. Ben Leder in his You Tube video "Combined and Sequential Approaches to Osteoporosis" mentioned the substantial effectiveness of combining Forteo (like Tymlos) and Prolia (minute 11) and, more relevant to you, the substantial effectiveness of sequencing with Prolia after Forteo- ( minute 35 or so). https://www.youtube.com/watch?v=WXoz1NeUgg8

The problem as always is rebound after stopping. Leder says that bisphosphonates can "mitigate" this but the dose, frequency and type of bisphosphonate have not been determined (2022).

I hope you will keep this forum informed about your results. Your doctor sounds creative and as if they are up on research. I would ask about the track record in your doctor's practice of Reclast, for example, after one year of Prolia. People on this forum have cited Keith McCormick (author of "Great Bones") as now being in favor of Prolia for 1-3 shots if followed by a bisphosphonate. My own doctor won't use Prolia unless absolutely the only option but I am wondering if that will change.
ps Leder has another video up that is 6 months old that I just noticed and will watch that!