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@surefire - I actually haven’t taken any drugs for osteoporosis to date . When I met to see what path McCormick felt was viable for me that’s what he recommended. Forteo 2 years , mostly likely Actonel for 1 year. I think he may have first said Reclast as follow up and I said I was a bit leery of that med, then he offered Fosamax , but when I mentioned a bit of GERD history he said Actonel would be better. Though I have read that Actonel can be a bit reactive if you have GERD. I also told him I my goal was NOT to be meds forever/ long term. And his response was you could do what I did 2 years Forteo , followed by one year Actonel as a substitute for Fosamax ( which he did).Hope that clears it up. I mean I could probably try Reclast. The thing that scares me is it’s obviously a big dose since it covers soo much time before the next dose. If you have issues, in my mind , you’re kind of stuck there with just hope that it decreases overtime.
But I understand it is a more potent maintainer. Good luck to you and all out there making these decisions!!!

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Replies to "@surefire - I actually haven’t taken any drugs for osteoporosis to date . When I met..."

Thank you for responding and clarifying. I wish i had done what you are doing now - researching your options before commiting - as i would never have started on Prolia at all and would have put in more effort on a non-drug treatment.

Anabolics like Forteo and Tymlos seem like a more logical choice to me as initial treatment as anti-resorptives only keep old bones and not build new bones. And while Dexa scans may show positive results with anti-resorptives, there's concern that the denser bones may actually be more brittle.

Anabolics do also come with side-effects and risks so ultimately it's a risk-benefit assessment. I also completely agree with you on your thoughts on Reclast

Good luck and best wishes!