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I was diagnosed about 4 years ago - I have decided I probably need to take something - my doctor recommended Prolia, Fosamax, or Reclast - my choice. I am still trying to decide between the last two. I ruled out Prolia because it is espensive and my insurance doesn't cover it, and if I understand correctly, if you stop taking it, you are even more likely to have a fracture. I will probably try Fosamax, though I am concerned about the effect on my digestive tract. If I don't I guess it will be Reclast - but some say it causes pain sometimes - and the way I see it, Fosamax being once a week won't be in my system very long, where my body is "stuck" with Reclast for a whole year! I know there are other meds but these are the ones my doc prefers. I am 75 and have never had a break, and have been remarkably healthy all my life. My recent blood work was excellent, so I have a lot to be thankful for. Good luck!
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@aliv I am 78 and have never experienced a fracture except my little toe but many people fracture their little toe without having OP. I have fallen many times throughout my life since I was always active. I have wondered why I have never broken a bone even now at 78. Recently, I have been falling without a fracture with a BMD of -3.7, mostly due to my Border Collie’s exuberance. I have researched this phenomenon and identified two components that may explain this though I have only found scant research literature regarding this. There are two major components of bone composition, the internal matrix and the structural bone. I surmise that OP persons experiencing falls without fractures probably have strong structural bone but depleted bone matrix. Since, I have not found published scientific research on this phenomenon, please share any studies that anyone has identified so I can further understand this. I am so grateful for this forum and have learned so much. Thank you.
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@aliv
Did you and your physician talk about the bone building drugs....forteo, tymlos and evenity? Did she explain why she is recommending fosomax, reclast or Prolia first?
We are all finding that it is very helpful to do our own research on Osteoporosis and treatments. It makes it easier to advocate for yourself.
Sequencing of these meds is important so you may want to explore that further.
I am not a physician only a tired patient. What were your latest dexa scores?