← Return to What to do!

Discussion

What to do!

Osteoporosis & Bone Health | Last Active: May 1 11:27pm | Replies (62)

Comment receiving replies
@gently

janflute not everyone has adverse reaction to Reclast. Some people are on bisphosphonates for many years and don't have problems with osteonecrosis or AFF. Your jaw should have recovered by July. If you are going with an implant, you might ask to extend your Forteo use.
Now that there is no limit to the amount of time allowed take Forteo patients are opting for a three year course. My hesitation for three years comes from the bone markers, which seem to become imbalanced between over the second year. We take a bisphosphonate after two years to "seal the gain." But what does that mean. Bisphosphonates do clad areas of the bone for seven to ten years. And they lower the osteoclasts number. So you have bone that is less flexible, doesn't repair cracks and can prevent fracture.
Findings from cadaver bones are that the bisphosphonate remains in the bone until breaks away at the margins of attachement.
It would be better if when we quit Forteo we could do bone scans every month to determine when bone loss ensues after treatement. What we use instead are bone markers at six month intervals. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730878/#:~:text=Context%3A%20In%20postmenopausal%20women%2C%20bone,in%20men%20is%20less%20clear.
It looks to me like stopping Forteo for one month gives you the advantage of dropping CTX without the multiple possible and also the real disadvantages of Reclast.
Forteo helps to integrate the materials used for dental implants and has none of the risk of osteonecrosis or AFF.
My own plan is to do a reset after Forteo by stopping the medication, probably for a month, and then to enjoy the robust second application of the drug.
Alendronate might be an alternative to Reclast. It doesn't adhere to the bone for as long as Reclast. And you wouldn't be risking the severe reaction that some experience.

Jump to this post


Replies to "janflute not everyone has adverse reaction to Reclast. Some people are on bisphosphonates for many years..."

@gently I find this very interesting. So you will not be on any medication for a month and will restart Forteo. No bisphosphonate? Is your doctor good with this plan?

The bisphosphonates scare me with the side affects and the fact that you can only be on them for a certain period of time. At 63 I will be starting Tymlos so will be on that for 2 years and then follow up with a bisphosphonate for up to 5 years. Then what?

It would be great to continue with an anabolic after a month break.