@giannam why Reclast first and then Evenity? Doesn't it make more sense to do Evenity first and then Reclast? I have read that doing a biphosphonate after a bone growing drug rather than before, is preferable. Bone quality is better with the bone-growing drugs and is a better foundation for maintaining with anti-resporptives. I am only another osteoporosis patient and not a doc but have read a study on this and it makes sense intuitively. Or maybe they want to see if Reclast does the job and then you wouldn't need the Evenity? Or insurance is requiring this order of things?