Hi Christine,

I did read your update in the other thread but it was very kind of you to post it here as well. I think you are making a good decision to go off Prolia esp given its negative impact on your immune system. As others have mentioned, the usual follow-up from Prolia is a bisphosphonate like Reclast or Fosamax and Prolia may reduce the effectiveness of an anabolic like Forteo but as you have not been on Prolia for very long, there should still be some efficacy in using Forteo. I am surprised that your rheumatologist suggested Forteo rather than a bisphosphonate as a relay drug but he/she may have her reasons. It means however, that it is even more important to monitor closely your BTMs to ensure that any possible rebound from Prolia is controlled.

I note that you have further tests and respiratory appointments before you commence on Forteo. If these end up delaying your commencement of Forteo beyond 6 months from your last Prolia shot, you may wish to consider checking with your rheumatologist if you could just take a week or two of Fosamax/Alendronate as a temporary measure to mitigate any possible rebound effect.

All the best for a speedy recovery from your chest infection and do take care and keep us updated.