@cehunt57 my nephrologist said that Reclast can cause kidney failure in rare instances. Her words were "It's rare, but devastating when it happens."

My endocrinologist is going to do a 20% (1 mg rather than 5mg) dose of a Reclast infusion as a test dose. After three months I will have a dose of my choice. I read that a half dose is as effective as a full dose so I am never going to request more than 2.5mg. This might be a way for you to go as well.