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Reclast vs Prolia?

Posted by gwpitt @gwpitt, Dec 19, 2023

I have osteoporosis and was on Tymlos for 7 months. I had to stop because of debilitating pain (that resolved with cessation of treatment) and am now on Fosomax.

I also have Barrett's Esophagus and Fosomax can cause esophageal irritation. My rheumatologist recommended Reclast but did not suggest Prolea because of the theoretical risk of Fosomax worsening my esophageal condition.

Can anyone provide advice on taking Reclast vs Prolea?

Thanks in advance.

Gswpitt

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gently | @gently | Dec 31, 2025

lindamaegirl, I missent a message to you. Whiteswan kindly advised me. I'm sending you the link, not because it is a most wise response, but in case you wanted to contact windyshore's md. https://connect.mayoclinic.org/discussion/improve-bone-density-and-strength-without-medication/

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leslieb52 | @leslieb52 | 6 days ago
In reply to @gwpitt "These decisions are difficult and stressful, but all you can do is consider the options and..." + (show)
Profile picture for gwpitt @gwpitt

These decisions are difficult and stressful, but all you can do is consider the options and make your least bad choice. Unfortunately, all medications have potential complications but their risks are usually lower than their benefits.

I am a retired physician and I struggle to find the "best" treatment plan. I also know friends with osteoporosis who need treatment but are fixated on the complications and procrastinate or never start treatment; taking on a high risk of fracture.

Good luck with your decision.

Gswpitt

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@gwpitt thank you for your comments.
I am in the scared camp, but am more afraid of fractures and complications than of drug reactions. My doctor wants me on Prolia, so I am moving slowly in that direction.
She wants me to go on reclast if I have problems with Prolia.

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