Total Bone Support if that is what you are taking has 500mg strontium. The therapeutic dose was 680mg but 500 is a considerable amount, and will make your DEXA scan look like your bones are better than they are. In other words, that amount of strontium throws off your DEXA. Strontium replaces calcium in the bone and is denser by nature, so the DEXA looks denser. Sorry but this is a well-known factor in what looks like improvement.

That said, you may have some improvement from the Reclast and even the strontium: you just cannot tell.

Europe/UK no longer approve the ranelate form of strontium due to clots/cardiovascular risks. Some US companies have stopped making the citrate form.