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@gently do you know anything about I'm 69 female have copd terrified reclast in 4 months. Had l4l5 fusion may 1 6 months ago mayo Rochester mn. 2 bad knees can't exercise or lose 185 weigh too much for spine now. High blood pressure severe allergies. Feel immune system compromised bad lungs bronchitis and pneumonia my whole life. Birn 3 months premature. Weigh 2 lbs at birth in incubator 3 months after born. Scared to do reckast afraid of respiratory failure, atrial fib, back pain bone pain and joint pains. I gave no pain now after surgery. Don't want muscle spasms in my back or anywhere with screws and rods in fusion. It's nit even healed yet won't be year of fusion till may 1 2026. I don't know what to do. Any suggestions. Evenity 7 mo wish I could do that again. No side effects just insomnia. Want tymlos but don't think they will do after evenity. Any help u can give me. Rochester mn mayo endo ? He is nit concerned with all my previous conditions he's to passive. Feels like he just wants reckast or prolia cuz reckast gives them lots money. ?

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Replies to "@gently do you know anything about I'm 69 female have copd terrified reclast in 4 months...."

@findtheanswersdn,
https://pmc.ncbi.nlm.nih.gov/articles/PMC7560921/figure/Fig2/
A consecutive second year of Evenity https://pmc.ncbi.nlm.nih.gov/articles/PMC7560921/).
Considering that you haven't had side effects, it might be worth pursuing with this or another endocrinologist.
The risk of afib with Reclast thought to be low. But even lower with Evenity.
I have heard of osteoporosis patients having success holding gains with Tymlos after Evenity. That sequence is one I'd rather see you take.
Guidelines are for taking an antiresorptive after Evenity. I'd consult with the present endocrinologist, before looking elsewhere.
Reclast could work out for you. I don't hear of many people escaping without some aches, but Evenity seems worse in the general aching department. If you do decide on Reclast,
be sure to make it a 4mg dose with an hour for infusion.
The spasms with Reclast can be caused by hypocalcemia. When bones break down they release calcium into the bloodstream. So any of the antiresorptives can cause muscle spasms.
Bone markers, especially CTX, should guide your course especially if you can secure a prescription for Tymlos.
I'm so happy that you have no pain with the fusion. Tymlos would advance that healing.