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Prolia discontinuation

Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (7)

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@awesomemomx2

Hello, czauderer,
These two ladies are highly knowledgeable. and helpful. There is alot of research out there to examine. I, myself ,have been trying to get off of Prolia after 5 injections. I wanted to do it sooner but was unable to get an endo to assist me. I see a new endo in January and am hoping that he will be willing to work with me about doing this. I had not been informed about the danger of coming off Prolia before going on it. While I haven't had difficulty with it I am very fearful of the rebound effect when coming off of it. Of course the longer you are on it the more challenging it becomes to curtail its rebound action. There is an article by GRASSI, et al entitled Zolendronate aftet Denosumab discontiuation: Is repeated administrations more effective that single infusion. It is a April 13,2024 article. in the Journal of Clinical Endocrinology and Metabolism. You find it helpful to read. Margaret Martin,PT, has a you tube video entitled Long term side effects of Osteoporosis drugs. I found that very interesting and informative. I would recommend that as well. A continued conversation would be welcome. Thank you.

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Replies to "Hello, czauderer, These two ladies are highly knowledgeable. and helpful. There is alot of research out..."

@awesomemomx2, I appreciate the link https://academic.oup.com/jcem/article/109/10/e1817/7645059 and didn't have a fix on how low < 280ng/L CTX should be maintained after Prolia. I haven't seen it elsewhere in the literature until this article. Also that CTX levels of greater than 212ng/L have 100% accuracy in correlation with BMD loss in this study in the context of stopping Prolia.
Couldn't see if the Zol dose is 4mg or 5 for the study. It is significant that there is increased risk of fracture at 9 months after Zol that could be mitigated with another dose. Thanks