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@luckypup Thank you so much for sharing your understanding. That is what I had understood, too -- that the osteoclast activity takes awhile to slow down, so you need to take something (eg a bisphosphonate) to stop the breakdown. But somewhere along the line I read -- or saw a diagram -- showing that that elevated breakdown normalizes within a few months. So that is why it seemed odd to me that I would have to take the hated (!) Fosamax for two whole years!! I'll have to find that study or diagram. If I do, I can share it.

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Replies to "@luckypup Thank you so much for sharing your understanding. That is what I had understood, too..."

@sebutler Yes, I had the same thoughts. Two years (even one) seems like an awfully long time for this to be necessary. I'll have to ponder it when the time comes for me to stop Forteo.
One thing that has bothered me 'less' with Forteo and even Fosamax is the shorter half life...or how long the drug is working in your system. If you choose Reclast, it's a once a year infusion. Man, that's a looong time to be dealing with any side effects or adverse reactions. As Forteo is daily and Fosamax is once a week, it seems like less of a long term commitment. Again, just my understanding but I would consider Fosamax on a shorter term basis.