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Reclast side effects

Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (293)

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@awfultruth

@hlp123 Sorry about your bone troubles. Reclast is the most powerful bisphosphonate and most often used to follow Prolia but it does not always work. What I'm about to say next may be too late to help you and it is certainly not to criticize you but it's what should have happened when you stopped Prolia.
If you do not test bone markers (CTX and P1NP maybe) you cannot know whether Reclast is working until it is too late. Some top doctors (who are doing what's best imo) will have you do multiple checks of CTX starting before the Reclast infusion and then shortly after the infusion to see if you are suppressing the fast bone resorption that stopping Prolia can cause. If you are one of the unlucky ones where the first infusion of Reclast did not work they give you another infusion. And test CTX again. If that does not work they might try Evenity I would guess (I cannot remember what was suggested at that point). I believe this was discussed at the last Santa Fe bone conference.

BTW, Evenity is the most powerful bone builder (as proven by multiple studies) and it has a pretty good track record in terms of side effects. It might well be appropriate for your situation.

BTW, bone markers are greatly altered by fractures so you would need someone really experienced to help understand their meaning in your situation with recent fractures.

Also it would be helpful if everyone seeking advice posted their DXA scores to help clarify their situation. It really helps to make sense of things.
Best of luck to you in your difficult situation.

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Replies to "@hlp123 Sorry about your bone troubles. Reclast is the most powerful bisphosphonate and most often used..."

Thank you so much for your response ! Yes, the endocrinologist that I sought for a second opinion said that even though I was diagnosed with fractured ribs in August, that I had to wait until December and then get the blood work that he wanted to give my ribs a chance to heal before he would decide what medication I should take to protect my bones. My bone density score from from August 27th are : Lumbar spine L-1-L-4 level at -1.7, at L-2-L-4 level at -2.2, at femoral neck -3.1, hip at -3.2 I really appreciate the helpful advice from you. After my year on Reclast, the doctor said the dexa scan showed that the Reclast had locked in the gains from the Prolia and that I would me ok. This is not the case.
Thank you !