My rheumatologist who I see for autoimmune disease as well as osteoporosis has said Prolia is only option. However I recently consulted with an endocrinologist who said that her recommendation is Reclast. She also said that, if I desire, she would manage my OP. I have decided to change from rheumatologist to endocrinologist for management as I don’t want to be on Prolia the rest of my life. Also I had 2 unusual osteoporotic fractures while on Prolia.