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Cannot decide which is best for my condition.



I am a 63 year old female (64 on 9/30/06)stomach cancer survivor (Cancer discovery early 7/00 w/70% of stomach removed 7/6/00, no radiation or chemotherapy.

Menopause started at 50 (1992), started HR Estradiol at 52 (1994)and quit at 59 (6/02. My OB/GYN first introduced Evista on 8/13/02 which I posponed taking, as I have always feared side effects to my stomach which I consider very sensitive since my surgery. I started Evista at 63 (2/05)as advised by my Orthopedic surgeon after I broke my right wrist.

I stopped taking Evista 8/10/06 when I read that it can cause blood clots. I then asked my Rheumatologist who recommended Boniva. After reading the side effects - May cause: ulcers in stomach or esophagus,heartburn, diarrhea, dyspepsia (upset stomach).

I was suppose to start Boniva on 9/1/06. However, I am so confused as to what I should take. I have to take something very soon since my right hip is just below Osteopenia border line into Osteoporosis and my left hip is on the Osteopenia bottom side of the border line

What is your recommendation and rationale?


An intravenous version of Boniva was just approved.  You might check with your physician about that option.  There may be a center where you could obtain that therapy.

For more information:

Go to the Osteoporosis health topic, where you can:

Response by:

Margery   Gass, MD Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati