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My Experience on Evenity for Treating Osteoporosis

Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (1085)
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@windyshores

@betsee sounds like the doctor in another state is a good doc! I wonder what that doc says about the timing. Dr. McCormick says, in his book "Great Bones" (page 559) to follow Evenity with either Prolia or Reclast immediately to avoid bone "resorption rebound."

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betsee | @betsee | Jul 25, 2023

Yikes, immediately might be difficult. Amgen website says Prolia one month +/- 7 days, so I assumed Reclast was the same.

Infusion center likely needs to get insurance approval, but I’ll push them to get me in ASAP.

I have some bloodwork to do prior to infusion.

Reclast protocol:
1. Reclast injection must be administered as an intravenous infusion over no less than 15 minutes. I’ll ask them to do a SLOW infusion. Thank you for the suggestion.
2. Intravenous infusion should be followed by a 10 mL normal saline flush of the intravenous line.
3. Somewhere I read ‘infuse 0.9% sodium chloride at 500 mL/he for 15 minutes’ prior AND after infusion. This seems to be equivalent to 8 ounces of fluid prior and after infusion.

Not sure if I can make it through Good Bones, as this is happening quickly. I did watch a lecture you posted with a Mass General (?) physician. This led me away from Prolia due to consequences of discontinuation - FREEDOM study & vertebral fractures.

Thanks so much for the wealth of knowledge you have shared with me and others.

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