@daisy17 I have since discovered in the last year that bone density changes are slow...my doc indicated when he ordered Reclast that I could possibly have a "one and done" situation; that if my numbers move to osteopenia, I may be able to work on bone health without another infusion. CTX/NTX scores were great; he said that indicates the drug is working; thus no need for a DEXA however I need to see the numbers on the "gold standard" DEXA. Private pay for me!