I have a very high level of osteoporosis in my back and moderate pretty much everywhere else due to liver disease and Tacrolimus. The meds for osteoporosis are all hard on ones body, but my endocrinologist convinced me that the risk of having a broken back was a likely scenario if I didn’t take meds. She wanted to do an infusion of Reclast, but that interacts with Tacrolimus. So, I went on Alendronate in April.

I take it at 6 am every Tuesday, with at least 8 oz. of water and then do my morning walk and drink another glass of water. Then, my morning 1/2 cup coffee. I take my transplant meds at 8:15. Works for me so far.

I’m assuming you’re working with an endocrinologist. You should definitely speak with your transplant team as well about the meds. I also spoke with my pharmacist, and we determined my timing was good. You’re supposed to drink a full glass of water with it and don’t lie down, take any other meds, food, or drink other than water for at least 30 minutes. And, you always take it first thing in the morning.

You’ve probably done the 24 urine tests…I had not. There are certainly worse tests, but urinating into a hat for 24 hours when you drink 60 or more ounces of water everyday was not a picnic either!