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I am nearing the end of my two year Forteo therapy. I will have my DEXA scan in April, followed by appointment with my endocrinologist. She has already suggested that I will transition to RECLAST and I am now following the comments on this site. This is very discouraging, so many problems with Recast posted here.
Before starting Forteo, I researched for six months, gaining a lot of my information from this site. I have been very surprised and I guess fortunate that the Forteo experience has been just fine for me. No side effects, just the hassle of daily injections. I won't know if it's been effective, however, until the scan results.
In the meantime, I'll keep researching but right now I am extremely reluctant to begin Reclast and there aren't a lot of good alternatives. (age 75, active with the normal aches & pains of this age)

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Replies to "I am nearing the end of my two year Forteo therapy. I will have my DEXA..."

@kar50, when you stop Forteo the cells that remove older bone will drop more significantly than the cells that add bone. Alendronate or Risidronate are probably strong enough to maintain the gains on Forteo. But you could keep track of the change with bone markers CTX and P1NP.
Reclast is probably too large a dose for most of us. They do know that 4mg is as effective as Reclast's 5mg. You could ask for zoledronate which is easier to get in a lower dose. Also, Reclast is thought to be effective for two years for most people.
The side effects can be overwhelming, it seems especially for those with other autoimmune systems. If you decide on Reclast be sure and ask your prescribing doctor to write for a longer infusion 30 min to an hour. It's easier on your kidneys.

@kar50 lots of good luck, research well before you have the Reclast infusion!