@daun44 Reclast will increase bone density by reducing bone turnover, not by building new bone. So if taken for more than 3-5 years (they found out after it went on the market!) bone quality becomes a problem even if bone density is improving. That is why some- not many but some- have atypical femur fractures or jaw necrosis if on bisphosphonates too long.

@beanieone those are indeed amazing gains and it is reassuring that you got them with past use of Reclast. I have been told and read that both arthritis and fractures can make bones look denser on the DEXA. My gains on Tymlos were 19% on spine and 9% on hip. They omitted L1 and L5 that had fractured but included L2 so I recalculated and my score might be -2.6, not -2.5, due to that fracture (up from -3.7).

I have kept a chart of DEXA's since 2001 and have learned to go by trends over multiple scans so I take the message overall - for you and me- of pretty impressive gains regardless of obstacles to accuracy that might be valid.