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@sebutler

Yes, what if you are the rare one? My doctor just said that dental hygiene is important. And she said the risk of jaw necrosis or atypical femur fracture is very low (.06 percent, I think she said). I've been trying to find any information on how long patients who got ONJ/AFF were on Reclast or other bisphosphonates when that occurred -- do you know, by any chance? It's good to hear that one year on Reclast is just as good as two, and 4 mg just as good as 5 mg. Can you tell me the source of this information? I'd like to read more about it.

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Replies to "Yes, what if you are the rare one? My doctor just said that dental hygiene is..."

And even lower dosages are effective. I uploaded 2 files as I don't recall which is the one you might be most interested in.

Shared files

ReClast NEJMoa011807 (ReClast-NEJMoa011807.pdf)

low-dose reclast (low-dose-reclast.pdf)

https://pubmed.ncbi.nlm.nih.gov/28039941/
My source for one year Reclast and 4mg as effective as 5mg is conversational. The doctor who ran the clinicals speculated that the reason for leaving Reclast at 5mg might be commercial--to keep it separate from 4mg Zometa adverts for cancer. I wish he'd write a book.
The package insert for Reclast indicates that the optimal time for use is unknown and advises continuous reevaluation in each patient.