If you have been on Prolia that long, my doctor would insist on Reclast @tb39. He would say Fosamax is not strong enough but if you cannot tolerate Reclast, that would be your only other option. Do you have any GERD/reflux?

To me, your DEXA scores are amazing. What were they when you fractured? I have read somewhere that even if your score does not plunge, your fracture risk could rise sharply. Talk to your doctor about this!

Keith McCormick wrote "Great Bones," a book that many of us use, and there is a section on how to carefully transition to Reclast from Prolia using bone markers.

Reclast will cause a few days up to a week+ of an acute phase reaction for many of us. For me fever of 99+, aches, headache but after the first one the second one tends not to have it, according to various articles. I did not have a fever the second time. Most people I know tolerate it pretty well. I have a few side effects that are tolerable, more tolerable than my fractures!