@susanfalcon yes to hydration (which can be by mouth; my kidneys are the reason for IV), and also a slow infusion. Docs may or may not agree to a lower "test" dose. I have health conditions that require that. If the test dose goes okay, I will then have a higher dose. Just want to make clear the idea of a lower "test" dose is related to medical necessity. Let us know if your doc agrees.

During my cancer treatment, my endo wouldn't even prescribe Reclast (which is usually given with those cancer meds) due to my heart condition. That is how I ended up in this mess! He is nervous about it now, hence the test dose. If dose remains low, it will be every 3 months, not annual.