In patients with severe osteoporosis, history of retinal artery occlusion, and hypercalciuria, would you favor PTH analogue therapy or Evenity?

In a patient with severe osteoporosis, a history of retinal artery occlusion, and hypercalciuria, would you favor a PTH analog or romosozumab (Evenity)?

• I would favor a PTH analog over romosozumab given the history of retinal artery occlusion, assuming PTH and vitamin D levels are normal
• I would first treat hypercalciuria with thiazide therapy and repeat DEXA at 12 months before initiating anabolic therapy
• I would favor romosozumab despite a history of retinal artery occlusion
• Other