@susanop I just looked my PTH numbers and the highest was 139 and it went down to 66 by last October (normal range is 10-65). I will have it tested again in late June, 2026. I don’t experience any side effects from the Calcitriol that I an aware of. I do get drowsy in the afternoon, but I think that’s just age (I’m 69), and I’m usually up at 4-5 am. The only thing I might suggest is, if you are taking Calcitriol, maybe take it the morning because Vitamin D can keep you at night. Because Calcitriol is an activated form of D that is more potent and, I think, more easily absorbed, I would think that might keep you up at night as well, but I really don’t know if that’s true. A good question for your doctor. 🤔
BTW, I had 13 fractures: 3 wrist, 1 kneecap, 5 foot, 3 toe, and one femoral neck (hip) before Reclast and I haven’t had another fracture since I started Reclast. It has been well worth the side effects for me. I even stumbled a couple of times and went down — once while gardening and hit the concrete driveway and once while running in the woods after I tripped on a tree root and face planted. No breaks! Reclast and loading my bones with heavy weights 2-3x a week in a group barbell class (my endo really emphasized how important weight training was) have really changed my life for the better. One hears so much scary stuff about the drugs, but when you consider the risks of implanting 3 screws in my hip (in the hospital during Covid before vaccines were developed) and two surgeries and plates in my wrists and the possibility of infections or complications from those surgeries, plus eight weeks using a walker after my hip surgery (very depressing after a lifetime of running and half -marathons), the side effects of Reclast and even the elevated PTH seem mild by comparison. BTW, even when my PTH was at its highest, my endo (who is very caring) was unconcerned, noting the some people have PTH levels much higher than that, so try not to worry too much. I worried too much about it, in retrospect!