@andreamayo is there a reason you are taking Reclast and not a bone builder like Tymlos, Forteo or Evenity? Are you seeing an endocrinologist? With your DEXA scores, starting with a bone builder is what my doctor does and what is recommended in what I have heard, read and watched. Then you "lock in" gains with Reclast.

Another issue is that if you do Reclast first, the bone building drugs' effectiveness may be affected. You have only done one infusion so maybe you can switch.

Good resources for info are McCormick's new book "Great Bones" and Dr. Ben Leder's video on YouTube "Combinations and Sequencing." But having an expert doc is really important too.