hi @diane0202 . I had a DEXA at the 18 month point and had 20% gain in spine (from severe -3.6 to borderline -2.5) and 9% gain in hip. My femur neck is still a problem.

I am extending to a full two years because we were waiting to get clearance from my kidney doc. I am now scheduled for Reclast in late October. My endo wants to do a "test dose" of 20% and then three months later I will tell him what dose I want. I have read that a half dose is effective (2.5mg). I am to hydrate day before, day of, day after with salty liquids. Slow infusion. I believe monitoring will determine how many infusions I have but overall there is a good chance of having a med break (unlike with Prolia).