Hello Kate
I "feel" your dilemma. My last bone scan showed a little degeneration of bone tissue and the dumb doc immediately wanted me to start on Fosamax, apparently as a preventative. I emphatically refused. Had an acquaintance who used Fosamax for some years, which caused a leg bone fracture (known potential side effect) that led to necrotic conditions at the site of the fracture. Three surgeries and nothing would heal it. Very nasty deal, will likely lose leg. It's always a trade-off if serious, un-manageable side effects (like cancer and necrotic jaws with Fosamax) are possible from the med, and serious decline is a potential without the med. It all depends on how much YOU determine you need the med, i.e. the risk of the disease, vs. the risk of the med. In my case, I determined the chance of breaking a hip or pelvic bone, if indeed that chance existed, was sometime off in the future and I'd deal with it then - but I'd still avoid Fosamax. I have no info about Reclast specifically. I'm also very leary of taking meds as "preventatives" because detailed clinical trials and studies are NOT conducted to determine their efficacy as "preventatives".
One thought is to find out if there are on-going tests that can be conducted to determine IF dangerous side=effects are developing. That way, IF you take the med, and find you're not reacting well, you could choose to discontinue it.
I am likely facing the same trade-off decision from taking Eliquis for blood clots. It appears I have a gastrointestinal bleed (colonoscopy in two weeks, yippee
) and if so, do I quit the Eliquis or do I continue. Don't know the answer yet, but my inclination is to cease taking the Eliquis. I also dislike taking meds, but do recognize that in the majority of cases, they are life-saving so can't bash all of them all the time.
Best of success in your search for information and good wishes for your health.
Linda