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Hyperparathyroidism caused osteoporosis--now what treatment?

Osteoporosis & Bone Health | Last Active: 2 days ago | Replies (47)
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@sebutler

Thank you for your reply. Do you know if one year of Reclast would prevent the gains from Tymlos being lost? I suspect I will have to go on Reclast, but want to minimize the time on the drug (the fewer years the better), given the risk of jaw necrosis and femur breaks if I should need to have any dental surgery. My rheumatologist minimizes the risk, but then there are all those horror stories circulating!!

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Replies to "Thank you for your reply. Do you know if one year of Reclast would prevent the..."
gently | @gently | Jan 2 12:01am

I have the feeling you have a very good rheumatologist.
How do they reduce the risk with Reclast?
The doctor who ran the clinical trials on Reclast says he seldom prescribes the second year as the protection it provides is just as good for two years. So no advantage in the second year injection. He also says that everyone knows that 4mg is just as effective as the 5mg dose.
ONJ and AFF are rare, but there isn't a way to know if you'd be the rare one.

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