Reclast after Forteo?

Posted by janflute @janflute, Jul 31, 2023

I have been injecting daily with Forteo for over a year, no problems, and after the end of next year my Doctor wants me to have one Reclast injection. Almost twenty years ago I took Fosomax for five years and had no issues. Why can not you take Fosomax instead of Reclast, which I am afraid of?

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@cat1203

@janflute, why/how do having crowns contraindicate Reclast?

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Just that they have been there a long time and there is more of a chance that the tooth could be cracked or become decayed and need to be pulled because another root canal may not be able to save it?

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@windyshores

@mayblin it seems, from your posts, that Reclast might be best if we are satisfied with anabolic results and just want to "lock in" gains. But if we are not satisfied with results and have exhausted the active phase of an anabolic the first time around, and anticipate another round in the future, a weaker bisphosphonate might be best. Do you agree?

My doc is prescribing Reclast but also says I may do an anabolic in the future.

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You summed it up perfectly, @ windyshore!

It seems for a long term (20-30 years) management of op, multiple use of anabolics is inevitable. The selection of an antiresorptive in between is part of key for the success.

You’ve gone through so much and have an amazing ability to make most out of a treatment under a difficult situation. Wish continued success in your next step. Keep us posted please.

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@mayblin

You summed it up perfectly, @ windyshore!

It seems for a long term (20-30 years) management of op, multiple use of anabolics is inevitable. The selection of an antiresorptive in between is part of key for the success.

You’ve gone through so much and have an amazing ability to make most out of a treatment under a difficult situation. Wish continued success in your next step. Keep us posted please.

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@mayblin I am hoping that low dose Reclast will be a good middle ground 🙂

@janflute will Tymlos or Forteo work if you have one failing parathyroid? What does your doctor say?

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Yes! It is exactly what my body needs I think.

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@janflute

I am also very interested in your reply. I have only one parathyroid gland, because the other three were removed in 1996, along with my thyroid gland. The remaining parathyroid gland is failing. I very much want to take another round or Forteo or try Tylmos, and I certainly do not want to take a bisphosphonate that will stop the osteoblasts.

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With the only one remaining parathyroid gland that may be failing atm, it’s more challenging to maintain and monitor your state of bone health. Along with your thyroid hormone too. I’m sure your endo is taking great care of you. But at the same time I’m wondering if monitoring your bone markers will add additional value to your overall management, since tools are so limited to start with.

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jmanj, your posts have already been so helpful. I'm trying to follow my bone health with bone markers, but can't quite figure it out. Do you know what method your doctor is using or would I be able to get an appointment with your edocrinologist. Thanks.

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@janflute

I am also very interested in your reply. I have only one parathyroid gland, because the other three were removed in 1996, along with my thyroid gland. The remaining parathyroid gland is failing. I very much want to take another round or Forteo or try Tylmos, and I certainly do not want to take a bisphosphonate that will stop the osteoblasts.

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I also only have one parathyroid gland, for the same reason as you. How do you know your gland is failing and has your Dr suggested a treatment option for this? Thanks.

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@mayblin

With the only one remaining parathyroid gland that may be failing atm, it’s more challenging to maintain and monitor your state of bone health. Along with your thyroid hormone too. I’m sure your endo is taking great care of you. But at the same time I’m wondering if monitoring your bone markers will add additional value to your overall management, since tools are so limited to start with.

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Thank you. I do not know if my endocrinologist has checked any bone markers. I have only seen him twice, and see him again on May 15 and will ask.

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@ripley

I also only have one parathyroid gland, for the same reason as you. How do you know your gland is failing and has your Dr suggested a treatment option for this? Thanks.

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Two years ago a blood test showed this.The treatment at that time was to take Forteo. I see the doctor on May 15 and will see what is next.

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