Bisphosphonates, like Reclast and Fosamax, can be visualized as coating bone and helping to maintain gains on the other drugs. Every osteoporosis medication is followed by Reclast or an oral bisphosphonate at this stage of the science. Bisphosphonates not only help maintain gains on the other drugs but also continue to add bone density.

For those of us who are sensitive to bisphosphonates, there really is no other choice. I do low dose Reclast more frequently than the annual 5mg infusions normally done to minimize side effects. I cannot afford any more fractures. Tymlos got me to borderline from severe and I want to stay there or better!