← Return to Tymlos done, feel susceptible to side effects if start bisphosphonates

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Bone loss can start within six weeks after an anabolic is stopped. I couldn't find a study on how soon bone is lost after Tymlos (abaloparatide) but there are two on teraparatide that show bone loss within a year of stopping treatment without following up with a bisphosphonate.

If you are concerned about reflux, you could do a yearly infusion of Reclast instead.

I was on Fosamax for over five years and never experienced reflux. I was careful to take it according to the directions: on an empty stomach with a full glass of water and waiting 30 minutes before eating or drinking anything.

I had acid reflux when I was younger but that was due to poor eating habits (eating late, eating greasy junk food, drinking alcohol), etc. Once I stopped doing those things, my acid reflux went away.

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@oopsiedaisy Thanks for your reply! And thanks for the research! As everything in the medical world takes time, I am concerned about missing the window to start the bisphosphonates, but it seems there is a decent amount of time before bone loss to hopefully determine if I am at risk. I might just start and see what happens, but I don't want to cause damage or a new health problem.
I was told about the specific directions for Fosamax and I am a rule follower when it comes to meds; I was wondering, based on your experience with the drug, do you know if we can drink more than a full glass of water and is exercise at the gym ok to do during the 30-minute wait? I have this also on my list of questions for my endocrinologist when she gets back to me.