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Which one to choose: Evenity, Tymlos or Forteo?

Posted by ninglike @ninglike, Nov 3, 2024

I have serious osteoporosis for years and finally decide to start treatment after my L1 compression fracture.
My endocrinologist suggested:
1. Evenity
2. Tymlos or Forteo
I'm scared of their side effects and don't know which one to choose.
Appreciate your opinions as well as pros and cons

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judycat | @judycat | 3 days ago
In reply to @broken13 "After the full 24 months of Forteo, I had one injection of Prolia but just before..." + (show)
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After the full 24 months of Forteo, I had one injection of Prolia but just before the second shot, I ended up with bone deterioration in my upper right jaw. So I did not continue with Prolia, and started Raloxifene, which had no side effects and "insignificant" decline over the 5 years to now accumulate to needing to once again boost the bone density. I am in my 5th month of Forteo. Still not yet approved for the Evenity, but will continue with Forteo for one year, and then if approved, will do 4 months of Evenity and then go back on Raloxifene .

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@broken13 curious why would you only do four months of Evenity? It is usually prescribed for 12 months. I was on it 12 months & now Prolia for the he last 18 months…had no side effects and remarkable bone increase on my last DEXA. I am just hoping no complications later down the road. With all prescriptions, there is risk, but I certainly did not want to risk more fractures.

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broken13 | @broken13 | 2 days ago
In reply to @judycat "@broken13 curious why would you only do four months of Evenity? It is usually prescribed for..." + (show)
Profile picture for judycat @judycat

@broken13 curious why would you only do four months of Evenity? It is usually prescribed for 12 months. I was on it 12 months & now Prolia for the he last 18 months…had no side effects and remarkable bone increase on my last DEXA. I am just hoping no complications later down the road. With all prescriptions, there is risk, but I certainly did not want to risk more fractures.

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@judycat Hi there. Since that post, I have now decided to do a full 24 months on Forteo. I have 5 months left to go. Evenity only offered Prolia or Reclast for follow up and my plan did not cover it. I cannot do Prolia and I'm currently thinking just to go back on Raloxifene as maintenance . I also have Lukopenia so I had concerns about Evenity anyways. I would do Forteo again in the future if needed, but once you do Evenity and Reclast, that would not be an option. I think everyones situation is different though.

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