Only symptom I had was losing weight rapidly.

That's a really good question to raise with your dentist. He should definitely know about your ONJ risk and about the high biphosphate dosing. I would think it would be highly recommended. I do get antibiotics before cleaning, but its because I have joint replacements. Some do not give it-but I always ask for it.

My bloodwork numbers were all over the board.....bad anemia, high protein, etc...which was the first noticed sign for me.

I have a lot of bone pain all over my body along with back pain. My pain management doctor gives me Hydrocortisone for the pain.