I had a slight improvement in a hip but didn't have any areas that declined. After I stopped Fosamax, there was a decline in bone density.
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Yes, it's expensive! I had a slight increase in bone density after 18 months. At least I didn't lose any! I understand that the drug company recommends that patients take it for the rest of their life. Not sure what my doctor will recommend.
I continue to receive Prolia injections 2x/year. I have had no side effects whatsoever. I do understand the questioner's concerns because the listed side effects are horrendous. My doctor's reassurance convinced me to try it & I am happy that I did.