When bone loss is severe: bone-building medications


Hi Reader,

Over the past few weeks, I’ve been sharing blog posts that explain how different osteoporosis medications work. First, I covered bisphosphonates (which work by slowing bone breakdown), and then Prolia (which also slows bone breakdown, but in a different way).

✅ This week, I wrote a post about the bone-building medications Evenity, Forteo, and Tymlos, the anabolics.

These medications are usually recommended when you have already had an osteoporotic fracture, your fracture risk is very high, or when your T scores show significant bone loss. You go on these to do something quickly to address your bone loss. They work differently from the others and are generally considered more aggressive. They are taken for a limited amount of time and must be followed by another medication to maintain the bone gained.

In this post, I go through:

  • How anabolic medications work
  • How Evenity differs from Forteo and Tymlos
  • How long they are taken
  • Why what comes after them matters

👉 Read the blog here: Anabolics: The Bone Builders — Evenity, Forteo, and Tymlos

✅If you’re considering one of these medications — or simply want to understand your options better — I hope this helps you feel more informed and confident knowing what you are being asked to take.

As always, medications work best when done with a structured, progressive exercise program. I am getting the dates lined up for my Strong Women, Strong Bones Jumpstart in 2026 now, so be sure to subscribe to this newsletter to be the first to know.

Thanks for being here, enjoy the blog, and let me know what else you need information about to stay strong.

My next Strong Women, Strong Bones program will begin next spring. Get the details and add yourself to the waitlist here

Hi! I'm a Andrea Trombley PT, DPT

I help women over 50 exercise to prevent unnecessary bone loss, prevent falls that fracture, and stay fearlessly active with their friends and families for years to come.

Read more from Hi! I'm a Andrea Trombley PT, DPT

Hi Reader, ✨ This might be the most enjoyable bone-health study I've come across in a long time — and I think you're going to like it too. Researchers in Norway recently looked at what happens when adults over 55 eat Jarlsberg cheese every day. Yes, cheese — as a bone health intervention. I'm here for it. Here's the quick science Most of you already know that building and maintaining bone requires key nutrients: • calcium • protein • vitamin K Jarlsberg is a naturally fermented cheese that...

Reader, I’m heading out to get in some mileage on the beach here in South Carolina today as I prepare for the Bataan Memorial Death March in a few weeks. I’m testing what socks, sneakers, shorts, and hats work best in sand and wind — but mostly, I’m just getting my body ready for the distance. No time goals, just steady miles. When I’m out walking or jogging, I often think about the simplest ways to share helpful exercises with you. Yesterday, I kept coming back to upper-body strength. Have...

Reader, Can drinking green tea 🍵really help improve your bone health? I’ll be the first to tell you — I’m a coffee gal, not really much of a tea drinker. But recently, while visiting my son in Boston, I ordered a pot of organic jasmine green tea. It was a freezing-cold afternoon, and tea seemed like the right choice to go with our ramen noodles. It was amazingly good. So good in fact, that my son's girlfriend surprised me with a bag of it to take back to Vermont. At the time, I had no idea I...