If you did 5 years alendronate, his suggestion might make more sense, though Prolia is also anti-resorptive. I would be curious how many Reclasts you would need to "lock in" before a drug holiday might be possible.

@gravity3 your situation is complex and kind of illustrates the challenges we all have when thinking about the long term.

I want to know, if I do low dose Reclast, how effective a second round of Tymlos might be. Evenity and Forteo are not tolerable for me and even my doctor says no Prolia.