1. < Osteoporosis & Bone Health

Medication following Evenity- Reclast vs Prolia?

Posted by daph @daph, Jan 21 4:41pm

I have been getting Evenity injections for 8 months and am evaluating a transition to Reclast or Prolia. I am early 50s and have had no issues with Evenity. Can people share their experiences with either? Has anyone done Reclast and then prolia post evenity OR Prolia and then Reclast post Evenity or have people just chosen one path or another?

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legalrn | @legalrn | Jan 24 10:24am
In reply to @windyshores "If you do Prolia, then eventually you will need to do Reclast because getting off Prolia..." + (show)
@windyshores

If you do Prolia, then eventually you will need to do Reclast because getting off Prolia means a drop in bone density and increase in fracture risk. Reclast on the other hand stays in the system a long time and is used to "lock in" gains from all the osteoporosis meds.

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Where’s that reference?

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legalrn | @legalrn | Jan 24 10:28am
In reply to @daph "Have you done Prolia after? I know you can't just stop it without meds.. was looking..." + (show)
@daph

Have you done Prolia after? I know you can't just stop it without meds.. was looking for feedback on anyone who has done Prolia or Reclast after (or both one after another)

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My bone density didn’t change on whit after stopping Prolia for two years.

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windyshores | @windyshores | Jan 24 6:48pm

McCormick's book doesn't have info on the transition from Evenity to Reclast and it seems little is known. I talked with him today and he said my CTX may be too low (getting it done tomorrow) for it to work, but endo says I run low naturally and transition to Reclast is not an issue.

@legalrn I hate to say it but I have read and been told that even when bone density does not go down after Prolia, fracture risk still goes up, so take care! I have a friend who also has done okay after stopping a year ago but her numbers weren't terrible in the first place. Hope that is true for you!

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riddick | @riddick | Jan 24 11:10pm
In reply to @gravity3 "Have you checked out McCormicks book. I don't have it yet." + (show)
@gravity3

Have you checked out McCormicks book. I don't have it yet.

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I haven't heard of it.

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3 replies
gravity3 | @gravity3 | Jan 25 12:27am
In reply to @riddick "I haven't heard of it." + (show)
@riddick

I haven't heard of it.

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Great bones by R. Keith McCormick

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gravity3 | @gravity3 | Jan 25 12:33am
In reply to @riddick "I haven't heard of it." + (show)
@riddick

I haven't heard of it.

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Also. You can see a presentation by him in the OsteoBoston you tube
channel. There are many references to him through our the mayo site. Good
luck to you

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1 reply
windyshores | @windyshores | Jan 25 2:34am
In reply to @gravity3 "Also. You can see a presentation by him in the OsteoBoston you tube channel. There are..." + (show)
@gravity3

Also. You can see a presentation by him in the OsteoBoston you tube
channel. There are many references to him through our the mayo site. Good
luck to you

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@gravity3 his assistant/receptionist told me yesterday that he is inundated. This has happened recently. I wonder if the Mayo forum is partly responsible!

McCormick's info in my phone consultation differed in some respects from my doctor's. I am getting a third opinion next week.

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2 replies
daph | @daph | Jan 25 9:14am
In reply to @windyshores "@gravity3 his assistant/receptionist told me yesterday that he is inundated. This has happened recently. I wonder..." + (show)
@windyshores

@gravity3 his assistant/receptionist told me yesterday that he is inundated. This has happened recently. I wonder if the Mayo forum is partly responsible!

McCormick's info in my phone consultation differed in some respects from my doctor's. I am getting a third opinion next week.

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How did it differ or what did he recommend for you instead?

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1 reply
sarahfloranne | @sarahfloranne | Jan 25 1:40pm

I was just diagnosed with Osteoporosis & they want me to start Prolia. After reading the brochure on Prolia, I’m not sure this is the best thing to do. I don’t even take calcium/vitamin D. Shouldn’t that be tried first? From what I can discern, if you stop or even delay Prolia you can have serious bone issues.

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