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Reclast side effects

Osteoporosis & Bone Health | Last Active: 7 hours ago | Replies (280)

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@anastasias

Wow, this is a lot! I just had my last (12th) envenity shots last month and have been directed to follow up with Reclast by the Endocrinologist, but my Rheumatologist nurse and my Primary Care want me to use Prolia. I was hoping all would be on the same boat. Only have the rheumatologist because she is local and the Endo is hours away and she just gives me the Envenity the Endo recommended.
I’m 58. After ALL the tests my problem most likely is genetic.
I have 2 old fractures and T7 was bad so a neurosurgeon patched it with a Kyphoplasty.
I am in good health and active. 35th year teaching primary kids so I walk a lot during the day, do weight training (only 2x a week so I know I need to increase that). One concern I have is dental issues. There’s always something that needs attention like a crown or a root canal…
The rheumatologist tells me that I can go off Prolia once my numbers are good. She has taken her patients off of it successfully, she tells me.
The Endo wants Reclast because she says you can’t ever go off Prolia. She would like Reclast for 3 years and then Prolia. 🤷‍♀️
Looks like I have only a few weeks to make a decision.
btw- my dexa showed a 20% increase with the Envenity. -3.9 to -2.6. I had no side effects at all other than injection site swelling and itching a few days later.
I was on this forum a year ago trying to decide what to do.
Now I’m here again.

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Replies to "Wow, this is a lot! I just had my last (12th) envenity shots last month and..."

Can you ask how the rheumatologist gets patients off Prolia "successfully"? From what I have read and heard from my doctors, bone density goes down and even more importantly and separately, fracture risk goes way up if you go off Prolia without a bisphosphonate. Some on here are doing 1-3 shots of Prolia for an extra boost after other meds and then do Reclast or Fosamax. Maybe that is a compromise-?

At 58, if you do Reclast after Evenity and then Prolia, you probably cannot stay on Prolia for life and will have to do Reclast again. I did Reclast after Tymlos and Evenity and hope for a drug holiday during which I will try more natural approaches (with the expectation more drugs will be needed).

My doctors agree with your endo on not getting off Prolia safely. It seems very unclear what the long term plan is for any of us to be honest. I am not sure our doctors know.

If I were you I would do Reclas, or 1-3 Prolias then Reclast- and then research the next step after that. It might even be more Evenity once the time limit is lifted- if it is! Research is ongoing and we need more time!