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Good question! I wondered the exact same thing. I’m not on a bone building drug as my insurance won’t cover it, because I haven’t fracture and my scores aren’t severe. My Dr is appealing insurance but I know they won’t let me take Evenity or the others first. So I’ll do Alendronate. Even though I tried it a couple years ago and had severe back pain 2 nights a week, I’ll take my chance with that over Reclast or prolia. I just started HRT and was wondering if I could do 35mg of Alendrodrate with it. They both stop bone loss so I’m hoping doing 35mg will lessen back pain.

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Replies to "Good question! I wondered the exact same thing. I’m not on a bone building drug as..."

My rheumatologist is actually the one who said there could be a lower dose of fosomax given (35mg) if a woman is on HRT.
That’s what got me started asking about this .
I started on the 70 mg of fosomax ( it’s only been 2 weeks) but dr said I should let her know if I go on HRT so she can lower the fosomax dose. It’s a tough decision about HRT for me. My gynecologist is risk averse about me going back on HRT (I’m 65 and already did HRT for 5 years prior to starting Tymlos ) I stopped HRT then.
I might get a second opinion . But I wonder if it’s redundant to take fosomax for my bones and HRT ( only reason would be for my bones ) I just have fear about the jaw and femur fracture rare side effects of fosomax) if a lower dose and less time on it would guarantee that I won’t have those awful side effects I’d be at peace with taking fosomax .