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Profile picture for Michael Lavacot @michaellavacot

Hi @kgrainger - I actually made a video segment just on this topic based on all of the trainings I have attended. While I recommend you watch the whole thing, here is that segment https://youtu.be/hnj1tFUAK3M

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Replies to "Hi @kgrainger - I actually made a video segment just on this topic based on all..."

Hi @michaellavacot, I see you started on prolia after evenity - are you still on it?

I'm very curious about how CTX levels change during prolia treatment. Do you monitor them? If so, do you typically do the lab after the injection or right before it or both? I'm interested in understanding the pattern of change between two injections, as well as how CTX levels shift with each successive dose. If you don't mind sharing your experience, I'd really appreciate it!

I tried reclast first I ended up in ER within 8 hours with a severe reaction to it. I can’t take it

@kgrainger , all - for those of you that do not want want to watch a video, here is a snapshot that shows the transition strategy for long term Prolia (greater than 2.5 years) based on the doctors that presented at the 2025 World Congress on Osteoporosis. Dr. Langdahl says that if you can't get CTX measured for what ever reason, that she give a second Reclast infusion at the 6 month period.