@malliecallie I think you might want to see an endocrinologist. Prolia is not the only drug that builds bone and it is actually an anti-resorptive, not an anabolic bone builder like Tymlos or Forteo. Evenity is an anabolic for the first half and anti-resorptive for the second half.

Anti-resorptives affect bone turnover and so bone density may improve but not bone quality. Many of us have started with an anabolic that builds quality bone, and then we "lock in" with a bisphosphonate.

My doctors don't use Prolia because it is so risky to get off, in terms of a rapid loss of bone density and increase in fracture risk. If you do it only a couple of times, a bisphosphonate can address that rebound effect, but Tymlos and Forteo don't work well after Prolia so you don't have many choices. Evenity might be possible.

Since you are 80, it is possible you could take Prolia and stay on it for the rest of your life and not have to deal with the rebound, but an endocrinologist would have to discuss that with you.

I hope, after reading "Great Bones," that you are able to find an endocrinologist you trust. You can also do a consult by phone or in person with McCormick- $350 for first consultation and $85 thereafter.