@sue225 and others, I think you might find this brief article from Harvard Health to be helpful in describing the mechanisms of action related to the different classes of drugs used for bone health and management of osteoporosis.

The "coating" is dead bone. Nobody listens to me - but it is dead bone that doesn't leave the body when you are on these drugs. When you go off the drug, that "coating" leaves the body in your urine - as it would have done if you weren't taking those horrible drugs. Dead bone isn't going to help you at all - it just looks good on scans - it makes it look like your bones are getting bigger and stronger. I am going at this from a nutritional approach. I have stopped fracturing and will have a DEXA scan as soon as the Covid19 calms down. (I have no immune system and cannot risk a scan at this time.). About 99% of all doctors know absolutely nothing about nutrition. They only know about drugs and surgery.

I would love to know about the coating resulting from the Reclast infusion. It’s a shame that our doctors don’t know the answers and we are just hoping we get results.