I only had one injection last year, and my hair was coming out in clumps. I've been losing hair ever since perimenopause started about 10 years ago, but Prolia took it to a whole new level. I did not get any more injections. After some research, about 5 months ago I started using a shampoo designed to slow hair loss. I'm sure it doesn't work for everyone, but for me, it's worked better than I even hoped it would. My hair loss is now at normal levels, like it was before perimenopause.
There are several shampoos for hair loss on the market. After researching them, I chose Pura d'or Hair Thinning Gold Label Shampoo, and I buy it directly from the company's website. The price seems high, but I'm still using the bottle I bought in October, and it's nowhere near finished.