@windyshores I came to this site last winter to search for the answer of my puzzling deaxa results at 13mo FORTEO. Along the way I was searching for the path forward at the completion of FORTEO. You've given me valuable opinions and we discussed fosamax dosage form briefly. Posts by @teb broadened my view so much, I'd never thought HRT will be on my consideration list as I'm 10-11 years past menopause. Discussion with @gently was and has been eye opening and mind blowing... Comments from @gently re FORTEO's second round will be "as robust as first one" stuck in my mind ever since. @gently has the most unconventional thoughts toward op therapy, those thoughts may lead our way forward, for the better. Every op drug has its time and place. If we like a second round of Forteo, fosamax and reclast may not be the best candidates as a relay, for obvious reasons. The remaining antiresorptives? Reading thru literatures, with the exception of prolia, I think they are feasible and sensible, including HRT, maybe a SERM (a bit too weak thou).

Use a gentle one, @gently @windyshores, if you'd like to repeat another round of anabolic such as FORTEO.

Boniva has pill form and iv liquid. Residronate has delayed release form which might be friendlier to stomach. HRT provides the much needed estrogen to post menopausal women. The thinking about hrt is fast changing, we just need to figure out if it's suitable for us individually. So far 4 doctors that i consulted think I'm a candidate for it and I'm 11 years post menopause with a mild cad. The key is to stay on top of keeping our health in check.

With that said, those biphosphonates may not hold bone gains well in a longer term. I'm still actively reading and comparing them. With more and more ppl using them as relay meds for repeated anabolic treatments, the long term management of op will have a new landscape.