@janflute how have you been doing with Forteo, considering your parathyroid issues? Forteo works through the parathyroid pathway. Have you had a DEXA or blood tests to make sure it is working?

Reclast is more potent and more effective at "locking in" gains, acccording to Keith McCormick's book "Great Bones" and my doctors. But many of us take it due to GERD /reflux or esophagus problems, because the oral drugs pose problems with us. The infusion bypasses the GI system.

However, alendronate (Fosamax) can also be used.

I have kidney issues and drug sensitivities so my doc is following Tymlos up with a 20% test dose of Reclast. I will choose my next dose for three months after the first. I have read and heard from one doc that a 50% dose is as effective as 100% so will probably go with that. I am nervous too.

We have no choice, as you know- and my docs don't use Prolia which would require Reclast ultimately anyway. Without a bisphosphonate, we will lose our gains. Bottom line: if you don't have GERD, you can do alendronate instead, but Reclast is more effective. Still Fosamax will help.

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