Prolia?

Goat milk is not the answer. There is no drink or pill that will fix significant osteoporosis. If only it were that simple. Unfortunately, you would have been better off starting with an anabolic like Evenity, Tymlos, or Forteo, but it's too late for that now. I would go with Prolia, and then transition to Fosamax. You need to do something, though. If I were 75, I'd just take Prolia and not worry so much about the future.

As for side effects, I always say that a spinal fracture is worse than any side effect, since it can literally destroy your life.

Goat milk? That’s a new one! I wish we had better protocols. I tried most of them. They didn’t work so they put me on Forteo. It worked and I went from osteoporosis to osteopenia. I did nothing for many years and my DEXA was stable until the last one. My doctors all said Prolia. I didn’t want to but at 70 with a lot of other issues I decided I didn’t want any more fractures I agreed. My side effects have been bad. Reclast was so much worse! You could talk to a functional medicine specialist about a natural protocol but it may or may not and you really need some sort of weight or resistance training. Generally once you start Prolia there is no going back!

i was on evenity three years ago. did well
then reclast. went backwards. Endocronolgist. wants me to do six months of evenity

and now medicare wont cover the evenity, !!! Dr from a good hospital in nyc wrote a letter of necessity to the infusion center. ii am at a fall risk here
ant thoughts

Are you seeing a specialist like an endocrinologist or rheumatologist? Prolia is an antiresorptive drug, which means it slows down the rate of bone loss but does not promote bone growth. The two other drugs you were on do the same: they slow bone loss but can lead to increasingly brittle bones.

A specialist may be able help you better evaluate your options. There is a class of drugs called anabolics that promote bone growth by directly affecting bone metabolism. These include Forteo (teraparatide), Tymlos (abaloparatide), and Evenity (romosozumab). One of these might be a better option for you to build back some bone.

Prior use of antiresorptives may impact how effective they are but they can still work. I was on Fosamax for five years and still had a 30% gain in lumbar spine bone density after doing six months of Tymlos/Forteo followed by a year of Evenity.

I am supposed to see someone in Rheumatology/Arthritis. I am concerned about side effects, e.g., on my jaw bone. I do have dental implant issues.

@geneseos
I was under the impression that Medicare does cover evenity. I also thought that the limit for this drug is 2 years.

@sdb2026 It requires preauthorization. The doctor would have to answer the questions on the form. They want to see a history of fracture, or a poor T-score, or inability to take a different (cheaper) medication. And, Evenity is only taken for 12 months.

@sdb2026 according to the infusion center they said since I took it three years ago. Medicare won’t cover it and they were going to call my dr. Who already wrote a letter of necessity. Have not heard back

@sdb2026 The good news is that Tymlos, Forteo, and Evenity will help you avoid the side effects that the antiresorptives have on jawbone.