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We use zometa as well, every 3-4 weeks.
My mom's bone mets became more sclerotic (ie. opposite of necrotic, I think means more bone being put down) as they 'evolved' with treatment. But no pain no fractures and no spread after 1 year.
It is quite common for bone mets to change like this (become more boney), and even some of my mom's were sclerotic to begin with. So I don't understand why the doctor would not give zometa, since I think this is what you mean your family member has.
Is your doctor an expert in bone metastases? Can he quote you Evidence from the medical literature to justify holding Zometa? Or is this just his 'best guess'/opinion? If it is just his opinion, and he hasn't reviewed the literature or talked with more knowledgeable colleagues.
If you are needing radiation, then I would push for zometa.
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