Had my first (& probably only!) Reclast last November. A couple days later woke up to greatly swollen knee ( just right one) where I couldn’t bend past 30°, or put weight on it as it was very painful. Felt fluid all around it. Living in a 3 story house was hard!
I laid on the couch & used cold packs on it. After a few days put a light compression wrap to help resolve the swelling.
Thankfully it returned to normal after a week and seems fine.
I felt crappy for a couple months- tired, achy, nausea- but feel mostly normal again.
My endocrinologist suggested Tymlos or even a 2nd round of Evenity in the future.
I don’t think I want anything for a good while.