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Reclast Infusions: Side-effects & Recovery time
Osteoporosis & Bone Health | Last Active: Dec 9 8:45am | Replies (644)Comment receiving replies
@windyshores if you are considering repeating anabolic therapy in the future, I think a dexa right now will provide one piece of vital info, of the effect of short term 4mo evenity on you. Do it now before bmd affected by recent reclast infusion? My take
Repeating tymlos seems ideal since you responded to it magnificently, although the prospect for its extended usage isn't clear yet. Assuming the last 6 mo (19-24) of tymlos didn't have much of anabolic effect (don't know for sure, but for some ppl this is true, forteo more so than tymlos), your dexa scan at one year (now) from last one would reflect mostly evenity's effect. Knowing how you fare with evenity will give you a good base for future decision making.
Repeated use of anabolics after bisphosphonates especially prolonged exposure, is an untested field for sure since forteo's lifetime usage limit was lifted not that long ago. We sure can wish active studies are being conducted and many work get published soon. Meanwhile anecdotal counts and shared experiences on this forum will shed some lights.
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@mayblin I asked about a DEXA a few weeks ago and MD responded next year. I could ask him with the caveat that I will pay if insurance doesn't. There is good reason medically to do one but my doc would have to write a letter.
The thing is, I think part of me doesn't want to know:) I had COVID and was in the hospital in November and for maybe three weeks did not do Tymlos. Then a few weeks of partial (tapering) and then Evenity Jan.6. My P1NP was not well-timed but showed no increase on Evenity.
My doc does not do bone markers and I occasionally have my PCP do them. But I think I have come to have a sort of macro/holistic view given all the factors to look at and my main goal is not to fracture. No fractures since 4/21. I get x-rays every once in awhile.
I am pretty sure my DEXA had a different "area of interest" and there are so many variables that I am not even sure a DEXA would help. I have kept a chart since 2001 and the DEXA's jump around a bit. People post about changes like -.1 or -.2 which just aren't meaningful at all.
With any testing, I ask, "will I change what I am doing?" The answer is no. So I tend to not do the tests! Slow medicine!