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The Doctors Reply after Prolia AFF and now recommends Forteo
Osteoporosis & Bone Health | Last Active: Oct 27 11:12am | Replies (16)Comment receiving replies
sbax75, yes, combination use of both a bisphosphonate and Tymlos. The bisphosphonate will slow but not prevent the effect of Tymlos. And the Tymlos won't hinder the bisphosphonate. Like you, I think that Reclast (I like the lower dose of Boniva as well as the possibility of stopping at three months which you wouldn't have with Reclast) protects against your greatest risk.
There was a study of Reclast with Forteo. I think Mayblin posted the link.
The only trouble with second opinions is that I don't think you should wait for treatment. And the wait could be three or more months.
Your best bet might be to ask your md for the three month Boniva injection.
I erased a longer post to you that I need to retrieve.
Replies to "sbax75, yes, combination use of both a bisphosphonate and Tymlos. The bisphosphonate will slow but not..."
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McCormick (author of Great Bones) does not recommend Boniva. @gently do you think it is strong enough to manage rebound from 6 years of Prolia?
I am not sure of the mechanism that leads both McCormick and Leder to say that Tymlos is not effective after Prolia and results may even be worse than doing nothing.
A study of Reclast with Forteo with people who had not done Prolia, had on advantage over Forteo alone according to Leder. But that study was not dealing with prior Prolia users.
@sbax75 could explore the possibility of more frequent lower doses of Reclast but I have no idea if that minimizes AFF risk.
I don't see any other choice but Reclast but I am a lay person and finding a good doctor for this situation is crucial.