@sugarmonkeys I am a little confused by your post. You have had osteoporosis since 2014, took Fosamax for several years, and did Reclast in 2015. That is only one year after your diagnosis. So did you take Foasamax before you had osteoporosis?

If a doctor said you should stop Fosamax and switch to Reclast, that is very confusing also because they are similar medications- bisphosphonates- except that Reclast is stronger. So you have been on bisphosphonates for 10 years now, which I have read is kind of the limit. Bisphosphonates are anti-resorptive and affect turnover.

Evenity is also anti-resorptive for the last 6 months. There is a study out using Evenity for only 6 months and then "locking in" gains with Reclast or Fosamax (or Prolia). Wonder if your doctor would allow that.

Tymlos and Forteo build quality bone and might be an option- ask you doctor. Previous bisphosphonates can affect their effectiveness (and that of Evenity too, but about 1/3 I read) but one of these drugs (Tymlos) was very helpful to me. Again, you have to "lock in" with Reclast or Fosamax.

Prolia is often suggested as a follow-up but is difficult to get off without rebound, and also has to be followed by Reclast or Fosamax. I figure once I hit 85 I would do Prolia because presumably I would never have to get off!

Doing bisphosphonates for so long leaves you in a tough place but there are some really good medications that you could try and then hopefully only do a dose or two of Reclast at the end of those meds, according to what my doctor is saying to me.