Hi! Thank you @mautaylor for commenting, it's so nice to hear from someone going through the same thing!

I haven't done much research. I consulted my endocrinologist at Cedars Sinai in LA and also Dr. Paul Miller (https://millerbonecenter.com/).

My plan is to check my P1NP and CTX every 3-6 months while on Reclast to make sure I am not losing bone and to have a Dexa in one year.

Just an FYI, but in addition to hydrating before the infusion, Dr. Miller suggested a 30 min as opposed to a 15 min timeframe on the infusion.

I fractured L1 at the gym (hip-hop dancing) so I know I will be on some type of regimen for the rest of my life but I'm pleased with the results from Tymlos, which increased not only my BMD but my TBS. My REMS score for spine is now in the normal range. But I consider this a chronic condition. I know what a fracture feels like and I don't want to experience that again!

I am sorry that we patients have to do so much work to ensure a safe and effective continuum of care, and I really appreciate the support that we give one another! Best wishes!