Which option to pick???

gweniepooh, the zometa infusions given after cancer are usually more frequent in smaller doses. You won't be likely to have the same side effects as those of us taking Reclast (5mg zometa). You can ask for slower infusions giving the kidneys more time to process the drug. It is a good choice shouldn't affect spondylosis and may help protect from the damage sometime caused by RA and will protect your bones from any (unlikely) metastasis, while protecting you from any advancing osteopenia.
While there are no known drug interactions between the two. Using them together may increase the chance of experiencing flu like symptoms and/or bone pain. But your doctor will probably be adjusting the dose in that situation. Congratulation on your successful treatment and early catch.

I have decided not to do meds and have also decided to concentrate my efforts in Onero type workouts and making sure I get adequate nutrition on all the important foods my body needs. I hope you have great gains and please keep us updated!!

I have a question about why your doctor would do that. Evenity builds bone the first 6 months and then suppresses breakup of bone the last 6 months from what I understand. Prolia also suppresses bone breakdown, so I don’t understand why not finish the last 6 months of Evenity??
Just make sure your doctor does a baseline test of your bone turnover markers (CTX for bone breakdown, P1NP for bone building), and then test again 3-4 months after you start taking your meds to make sure they are working. There is nothing worse than taking a year of medication and then finding out they are not working! I read somewhere that certain osteoporosis meds do not work on 5% of the population.

Do you have any underlying health issues causing your bone loss?? Address those first.

To answer your question, yes, you CAN slow down or improve your bone mineral density by doing certain exercises (weight bearing, check out the LiftMoor/Onero exercises by Dr Sheri Betz), eating the proper diet, taking supplements, etc BUT YOU HAVE TO WORK AT IT!! It is much easier to pop a pill/do an injection. Also, each medication has risks. You would have to weigh the risks vs rewards of those medications.

Educate yourself about osteoporosis. Don’t rely solely on your doctor’s advice because many of them are not very well versed about Osteoporosis. I have found the following on youtube to be very informative; Dr Doug Lucas, Margie Bissinger, Dr Susan Ott, Margaret Martin, OsteoBoston

Don’t forget, your DExA score is just one part of the picture. It measures bone quantity NOT bone quality. Also look at your FRAX score. Is it good? Is your overall health good? How is your balance? You can work on that by doing certain yoga exercises and tai chi.

I have not been feeling well on Evenity so 7 months is what I will tolerate.
I am scheduled for a DEXA in December but so far, it is out of pocket for me because Medicare won't cover it. My doctor basically threw it back to me because they don't have the time to appeal to Medicare on my behalf 😒.

Any thoughts?? (Other than my doctor is not my favorite)

I meant Reclast not Prolia.
My error

It's a tough decision. Every drug has a possible negative effect and there is no way to know how you will react. You make your best choice and hope for the best! I am currently using Prolia and praying I don't have negative outcomes because bisphoshphonates don't work for me. I would say used Prolia only after you have exhausted other options.

oh, good!

I am sorry to hear that you haven’t been feeling well on Evenity. I hope that being on it has increased your bone mineral density and you can lock in those gains by going on Prolia or ReClast.

Thanks for your kind note.
In December my DEXA will be telling