@cez Fosamax and Reclast are both bisphosphonates. So Reclast is not good to start with either (see note at the bottom.)

You might want to read McCormick's book "Great Bones," search online for Dr. Ben Leder's (MGH) video on sequencing and combinations of meds, or ask your own endocrinologist. The idea is that it is better to do bone builders first (Forteo, Tymlos, Evenity) and then "lock in" gains with a bisphosphonate or Prolia (my doc does not use Prolia because it is tricky to get off of it w/out bone loss). The other part of this is that use of bisphosphonates or Prolia first may affect the effectiveness of the bone builders.

ps an exception is for breast cancer, when Reclast or Zometa is given along with hormonal meds