← Return to Medications: How to make the best choice for me with my doctor?

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Profile picture for Michael Lavacot @michaellavacot

@kay15 - STOP!!! Reclast will never be able to get your left femoral neck below -2.5. The most Reclast can move the hip / neck area is about 0.3 T-Score (for you, -3.2 down to maybe -2.9). Convince your doctor to put you on Evenity instead. It works the best in the hip. It still wont get you below -2.5, but whatever you take after that should be able to do the trick.

If you go on Reclast now, Evenity's effectiveness will be reduced. Better to use Evenity first, then Reclast or some other anti-resorptive (like Prolia) second.

I put together a presentation discussing this and you can find it here https://youtu.be/OVRiiyHXeh8 . There is a Reclast slide in the backup that you can show your doctor that shows you can only get about 4.3% BMD gain in the hip / neck area which equates to about 0.2 to 0.3 T-Score.

And don't be afraid of fracture, your numbers are not that bad at all, especially at your age. Just don't fall on your left hip and you will be fine. 🙂

Good luck!!!

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Replies to "@kay15 - STOP!!! Reclast will never be able to get your left femoral neck below -2.5...."

Hi Michael, I actually spoke to my doctor after I saw your message. He dint really care what I said but he did agree to switch me to Evenity since I been hesitant on doing Reclast. He approved the change and I'm not waiting for approval on my insurance to start the monthly injections. I'm still wondering if I'm doing th right thing but I prefer starting with the monthly injections and if that doesn't work for me then moving to the once a year option, you message was just the push I needed to change my mind. Thanks!

I’m with you she doesn’t at her age need much. I wish i had her scores at my age of 72. Sometimes I think they are jumping a little too early and doing damage that can be helped by diet and exercise.