I wonder if Tymlos and Forteo only help trabecular bones.

Posted by drsuefowler @drsuefowler, Mar 24 2:39pm

I tried for many years to take care of my osteoporosis the natural way by eating well, taking supplements and exercising. Unfortunately, it did not work for me. After breaking 2 bones in 2022, last spring I attempted the full dose of Tymlos but could not adjust to the side effects. I broke 2 more bones last summer, so I started ramping up my Tymlos dosage last fall. I was on 20mcg or 2 clicks when I suffered a stress or fragility fracture in my second metasarsal of my left foot. I increased my dosage to 40mcg or 4 clicks. It has been over 7 weeks since I broke the bone in my foot and it has not healed. Every other bone I have broken has healed in about 6 weeks. Is it possible that the Tymlos is making it harder for me to heal?

There was someone on this site who was unhappy with her results from Forteo and Dr McCormick writes in his book Great Bones that sometimes these medications don't work. These medications are good for spinal bones, but what about other bones? I read an article in a medical journal that stated, "Daily injections of PTH decrease cortical bone mass and increase trabecular bone mass." Both Forteo and Tymlos increase PTH. My fractured metatarsal bone is mostly cortical.

I have an appointment with my endocrinologist in two weeks and will discuss this with him. Unfortunately, I don't think he will know the answer, because he didn't know that Strontium interferes with DEXA results and he doesn't see a problem with Prolia. I asked my orthopedist and he just said they think Tymlos helps.

Does anyone have positive results from Tymlos or Forteo for hips as well as spine? Any suggestions on how to heal my broken foot?

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@jmla

I had those side effects (not so much dizziness but the others) as well but they were transient and faded to much milder after a few weeks. Each time I bumped up the dose I would experience them again at first. I’ve been at 80 for 2.5 weeks and I’m getting used to it. I doubt I’ll ever be free of the side effects completely, but I take my dose at night, so I’m able to tolerate it and can lie down if I need to. Day time is better for some people, but it wouldn’t work for me. Best of luck with this.

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@jmla yay!

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