Just want to add that I am going to do a 20% dose of Reclast with IV hydration and slow infusion. Probably in May. I will report back on this. After a month I am told to let me doc know what dose I want at the 3 month mark. I read, and my doc agrees, that a half dose is as effective as the full 5mg so I am aiming for that as a total for the first year. I have GERD and cannot tolerate alendronate but if you can, then the advice of @artscaping is the best!