@osteoquest here is a thread on that question on Inspire, where noone seems to know the answer, but those posting have decided not to mix them. This thread also mentions stopping strontium 12 days before a long flight or a surgery due to clot risk.

https://www.inspire.com/groups/bone-health-and-osteoporosis/discussion/both-strontium-citrate-and-reclast-infusion/ (do oldest first)

@callalloo it also mentions the study showing lower doses of Reclast may be effective.

The thread is old: strontium ranelate is no longer approved in the EU due to cardiovascular risks, and the citrate form has been discontinued by several companies in the US. The therapeutic dose is 680mg. If that is taken, it will throw off your DEXA scan results.

That thre