On the Reclast question, I don't know if it works better than oral bisphosphonates, but it bypasses the stomach so those with who get intestinal issues from the bisphosphonates (pretty common side effect), or those with existing stomach issues do fine with the Reclast. That is why it's the best option for me vs. anything oral. I think overall, you can have a reaction to one and not another - just like with most drugs. And unfortunately we don't know until we try it. I was so scared the first time I did the Tymlos shot. But I like many chose it on 2 accounts - one, even though young I decided why not build my bone up first and then hold it in (it is thought the tymlos bone is more like your true bone - research in 10 yrs could prove different). But for now, I know bisphosphonates hold in the bones longer, keep it from turning over, but as we have learned after 5 years that becomes detrimental because it may show density but it is poor quality. At least we now know to take breaks from that and let natural turnover occur, as well as mix with other options. Nine years ago I never thought I would do the shots or Reclast, but when I kept getting worse despite food, vitamin, exercise and general good health I decided it was right for me. I had a grandmother fall about my age, had osteo but wasn't diagnosed, and she shuffled around the rest of her life. I think remembering that I knew I wanted to try to get the bone stronger because falls seems inevitable even with good balance - even strange twists or a minor car accident - too many ways to break once you get low enough. But it was a process to get here, and it ended with which risk and fear was greater, as there is risk and fear with every option, including the doing no RX option. I still continue to try to heat bone healthy, exercise and all the other natural approaches but decided the medicine boost would enable me to actually do that better with less risk.