Reclast to the rescue: After... - Advanced Prostate...

Advanced Prostate Cancer

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Reclast to the rescue

NewPotatoCaboose profile image
6 Replies

After disappointing results on a second bone density scan a year ago, I decided to go with an infusion of Zoledronic Acid (Reclast) 5 mg/100 mL 5 MG/100ML injection. Because I was working to treat a Vit D. deficiency, I didn't have the infusion until August 6. I have lots of underlying arthritis so it was a painful 10 days after, but I guess it was worth it.

Here's the results of Friday's scan:

"Findings:

Lumbar spine: Spinal degenerative changes are present which elevate the DXA-measured BMD diffusely throughout the lumbar spine. The L1-4 BMD is 1.121 g/sq cm corresponding to a T-score of -0.5. Today's exam is compared to the prior of 12/8/2023. In the interim there has been an increase in L1-4 BMD of approximately 11% from the earlier value of 1.008 now up to the current 1.121 g/sq cm.

Trabecular bone score: The L1-4 TBS is 1.250 consistent with partially degraded bone microarchitecture.

Proximal Femur: For diagnostic purposes, the lowest T-score at the femoral neck or total proximal femur is used. For monitoring purposes, the mean total proximal femur BMD in grams/cm2 is used when possible. The left femoral neck BMD is 0.662 g/sq cm corresponding to a T-score of -2.7. Today's exam is compared to the prior of 12/8/2023. In the interim there has been no change in mean total hip BMD.

Lateral Vertebral Fracture Assessment (VFA): The thoracolumbar spine from T8-L4 is adequately visualized for interpretation. No moderate or severe vertebral fractures are seen."

I guess I'll be looking at another infusion in August 2025. I hope the side effects are less. I'm also on .0375 twice weekly E-2 patches and do a lot of walking using walking poles as well as stationary bike riding.

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NewPotatoCaboose
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6 Replies
Mikes21 profile image
Mikes21

lot to read so I gather you have marked improvement right and thus will get another injection next year? I only ask cause I have osteopenia and my mo put me on Reclast so I have to wait for next bone density in august 2025 and hoping for improvement. Congrats if it’s working and I hope the same for me as I do the walking with poles and weight training as well

GreatDane1979 profile image
GreatDane1979

I get zoledronich acid twice a year.And lucky for me, I don't have any known side effects.

GardenReno profile image
GardenReno

I had a bone scan which showed osteoporosis due to ADT so started on zolendronic acid quarterly. First infusion was the wrist as made me feel a bit like had thdd we flu for a week. Since then side effects minimal and go away after a day or two.

Jemima48 profile image
Jemima48

Hi, I know I'm coming to this late, but I'm about to start on zoledronic acid after teriparatide (Forteo) failed.Can you tell me how long after the infusion you got these results? Did you have to wait a year?

Thanks.

NewPotatoCaboose profile image
NewPotatoCaboose in reply toJemima48

The bone scan was about 4 months later. They say it should improve 11% in a year. I theorize the E2 patches helped do it in 4 months

Jemima48 profile image
Jemima48 in reply toNewPotatoCaboose

Thanks, that's helpful.

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