← Return to High anxiety regarding Reclast or Prolia decison for OP meds

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@awfultruth

@windyshores I really don't get the strategy of doing Prolia for one year following an anabolic and then doing Reclast. There is some modest advantage in increasing bone density with those 2 Prolia shots over the Reclast shot but to go for a modest bump in density when doing so opens up the possibility of rapid bone loss and multiple fracturing. Seems like a lot of risk and worry (at least if you know what you are doing you would know there is a risk). for again a modest potential gain in density. Both Prolia and Reclast give you an increase in density but with different risk "profiles". Sorry I'm not providing numbers here but I would have to spend too much time searching for that info. I'm in the camp of "No on Prolia" unless I'm convinced I'm in my last years of life and won't have to stop taking it.

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Replies to "@windyshores I really don't get the strategy of doing Prolia for one year following an anabolic..."

It's so confusing!
At this point in my decision journey, my research points in these directions. But surely, there are other options and sequencing protocols. But maybe not.

1) Evenity>>Prolia 1 yr. >>Reclast
2) Evenity>>Prolia 1 yr. >>Evenity. Dr's prescribed sequence
3) Evenity >>Reclast
Each option has pros and cons. I'd like to avoid the Prolia and the rebound effect after stopping, even after 1 year. I'm not convinced the dual actions of Evenity has enough ummp (!) to blunt the rebounding of Prolia. I understand the proposed jump in BMD we should get from the Prolia, but not everyone responds with great gains. So why take it?
Realizing my spine is _4.7, after Evenity, is Reclast not what I need?
Reclast adverse side effect bother me. Just how bad is it!