Need Advise - What drug to Follow Up Evenity

Posted by prehorselover @prehorselover, May 8 5:03pm

I finished my 12th injection of Evenity on March 28th. It’s the only medication I’ve taken. Doctor recommended Prolia. I told her I would do ONE only. Then Reclast, then off drugs. My goal is to be able to ride horses for the rest of my life. I was diagnosed after I broke my shoulder. I’m 66. I suspect I have good bone quality. Started HRT.

Is that a good strategy?

Can you go from Evenity to Forteo?

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@michaellavacot

Hi @prehorselover - It's pretty difficult to put a probability of a potential break when a horse falls on you. I assume it's pretty high regardless of your T-scores. 🙂

If I were you, I would try the alendronate + HRT for 18 months and get another DXA scan to see where you're at. I'm not sure what target you should be shooting for specifically, but if you feel it's still to low, then you could do another round of Evenity. That should really push you over the top.

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If a horse falls on you, I think you have more to worry about than broken bones. She said if she falls off the horse.

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@dlmdinia

If a horse falls on you, I think you have more to worry about than broken bones. She said if she falls off the horse.

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Sorry, I was being facetious. A fall from a horse can be really bad since you are so high up . Depending on how you fall and land, it would be easy to break a hip even without osteoporosis or osteopenia. All we are doing with meds is trying to lower our risk. I really don't know what the target should be here. Your doctor will likely have better guidance since they have clinical experience.

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