Now about half-way through the recommended 5 yr course of alendronate, which increases bone density. Some studies have suggested that for the first five years, bone density increases, with minimal benefit thereafter but continuing (though very low) risk of side effects such as jaw osteonecrosis ("death" of jaw bone cells)--some dentists refuse to do oral surgery on patients taking alendronate.
Question: when should I repeat a bone density test to see if the alendronate is working? At least 2-3 years--got to give it time to work. I'll probably wait for the 3yr option, and if no improvement consider alternatives.
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