Which Med to Choose
Recently diagnosed in April with osteoporosis. 49 F, menopause at 47, 94 pounds 5’6” BMI around 15. Have been this size all my life, well normally closer to 105 but lost weight last year somehow. Dr ran all the calcium, PTH and celiac tests and all were fine. Pretty sure it’s due to my size. Started HRT last fall.
Lumbar was t -1.3. Left neck was -2-2 and right was -2.8.
She decided to try Tymlos but insurance denied twice as I do not have any bone breaks. They also said to try another med first so we tried Boniva for 2 months and had side effects from it.
When I went back to see her she suggested Prolia until I asked about rebound. Her next suggestion was Reclast so she has started working on the PA for it. She also asked if I wanted to try anything else. I had hoped to try Tymlos first as that was her first suggestion but she was not interested in doing a peer to peer to get it approved. I just want to take the right meds in the right order.
Is Reclast my best option at this point?