← Return to Stopped Prolia due to upcoming dental surgery

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Profile picture for ariespumpkin @ariespumpkin

@gently I appreciate this information. My last injection was in June 2025; I was scheduled for my next injection on the 5th of January 2026, but cancelled the appointment due to the upcoming surgery. I will contact my dentist regarding my issue ASAP. Appreciate your response.

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Replies to "@gently I appreciate this information. My last injection was in June 2025; I was scheduled for..."

@ariespumpkin, It looks like your timing is good.
"Case reports then appeared of new, often multiple, vertebral fractures that developed in patients within a few months of stopping denosumab — termed “rebound-associated” fractures. "
https://pmc.ncbi.nlm.nih.gov/articles/PMC5915244/
If your plan is to stop Prolia, you would want to consider a bisphosphonate. Reclast is usual after Prolia, but there can be fierce side effects, life changing for some. You may be one of the many for whom Reclast isn't much of a problem. Some people have sufficient protection from alendronate (Fosamax).
Best wishes for your surgery and after.

@ariespumpkin
You seem to be safe. I wouldn't take a bisphosphonate until bone markers (P1NP, CTX) show an imbalance indicating that bone will be lost. I would want to allow the best amount of time for healing after the surgery. Your surgeon may have a preferred time frame. I'd be needing reassurance at two months. If you were considering Forteo, you might get the jump on it because it can only help and speed healing from the surgery. It isn't usually effective against rebound. so I'd still want the bone markers.
Hey we're the same age. I haven't fractured and just had some dental surgery. I hope your dental work will be successful. And secretly. I hope you join me on Forteo.