Great question! All of the decisions to initiate and refill my prescriptions were from my PCP's until 3 years ago. I went to a rheumatology practice about 3 years ago when my health insurance would no longer cover my Prolia shots unless I went to a specialist. After my second atypical fracture which occurred on 11/26/2023, we had a discussion to which she admitted needing more information to decide what to do. I had already found this website which started me on the road to find out more about what I should do.