@laoaca I hope you can do a bone builder like terparatide (generic Forteo), Forteo, Tymlos or Evenity. The companies that make Forteo and Tymlos have patient assistance programs with income limits, and Evenity's Amgen may help too.

Prolia is an anti-resorptive and there are risks when you stop it- loss of bone density and increase in fracture risk, sometimes even when you transition to Reclast. Forteo and Tymlos are anabolic bone-builders and build quality bone. Evenity is both anti-resorptive and anabolic. All of these drugs are followed by Reclast, Fosamax or (not recommended by my docs) Prolia to "lock in gains."

Evenity is given in the doctor's office and is 80% covered by Medicare Part B. I pay $427 for it. My Tymlos was free for 18 months via Radius Assist.

Ask your doctor if you need to take a break between Boniva and the next drug and what the best timing might be.